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ERICHSEN BONOSTRO, PAC

PAC

Surgical Physician Assistant

NPI: 1902170327IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

PA9106442(FL)
Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

PA9106442(FL)

CMS Specialties

Education

OTHER

Class of 2008

Contact & Hours

Address
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Quick Facts

NPI
1902170327
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
18

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