Dr. Marc A Bonanni is a Plymouth, Michigan based male podiatrist with 28 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 1997. He is also affiliated with hospitals like Saint Joseph Mercy Livingston Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Marc A Bonanni for Podiatry is 5901001940 in Michigan. Dr. Marc A Bonanni is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Marc A Bonanni speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
28+ years
Medical School Attended:
William M. Scholl College Of Podiatric Medicine
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
990 W Ann Arbor Trail, Suite 102, Plymouth, Michigan, 48170-1686
Phone:
734-572-1141
Fax:
734-572-1142
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032107446
Enrollment ID:
I20040504001293
NPI Number:
1780645192
NPI Enumeration Date:
28 Mar, 2006
NPI Last Update On:
23 Jan, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marc A Bonanni are as mentioned below.
License Number
Specialization
State
Status
5901001940
Podiatry
Michigan
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Saint Joseph Mercy Livingston Hospital (230069)
Howell, MI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Marc A Bonanni is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The Porretta Center For Orthopaedic Surgery, Pllc (2860585544)
23
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Marc A Bonanni such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4134728
Medicaid
Michigan
4144617
Medicaid
Michigan
4858215680
Other
Michigan
BCBSM PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
24 Frank Lloyd Wright Dr Ive, J2000 Ann Arbor, Michigan
Zip:
48105
Phone Number:
734-747-6766
Fax Number:
734-222-3100
Patients can reach Dr. Marc A Bonanni at 990 W Ann Arbor Trail, Suite 102, Plymouth, Michigan or can call to book an appointment on 734-572-1141. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.