Dr. Gena Marie Bonitatibus
Allergist & Immunologist
1021 Bandana Blvd East Suite 200
Saint Paul
, Minnesota 55108
Dr. Gena Marie Bonitatibus
Allergist & Immunologist
1021 Bandana Blvd East Suite 200
Saint Paul
, Minnesota 55108
(706) 855-7675
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Gena Marie Bonitatibus
- 941 Mitchell Lane
- Evans, GA
- Zip : 30809
- Phone : (706) 855-7675
Second Address
- Dr. Gena Marie Bonitatibus
- 1021 Bandana Blvd East Suite 200
- Saint Paul, MN
- Zip : 55108
- Fax : (651) 642-9441
- Phone : (651) 642-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 045041 | MN |
National Provider Identifier
| NPI | 1184621310 |
|---|---|
| Provider Name | Dr. Gena Marie Bonitatibus |
| First Address | Evans, GA 30809 |
| Second Address | Saint Paul, MN 55108 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I00467 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.