Provider Demographics
NPI:1982997458
Name:TONSOR, BERNARD FRANCIS III (DPT)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:FRANCIS
Last Name:TONSOR
Suffix:III
Gender:M
Credentials:DPT
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Mailing Address - Street 1:1855 SPRINGBROOK RD S
Mailing Address - Street 2:
Mailing Address - City:BOYNE FALLS
Mailing Address - State:MI
Mailing Address - Zip Code:49713-9253
Mailing Address - Country:US
Mailing Address - Phone:231-459-8445
Mailing Address - Fax:231-459-8445
Practice Address - Street 1:825 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1592
Practice Address - Country:US
Practice Address - Phone:989-731-2341
Practice Address - Fax:989-731-7787
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501015461225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236707Medicare PIN
MI1437240066Medicare PIN