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Michael Benjamin Bohnert, MD

Dermatology in Quincy, IL. Individual provider (NPI-1).

NPI number1053990804
StatusActive
Last updated in NPPESOct 16, 2026

Details

NPI
1053990804
Entity type
Individual (NPI-1)
Name
Michael Benjamin Bohnert
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2021
Certification date
Oct 16, 2026
Last updated
Oct 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology036.175801ILYes

Practice location

4800 Maine St Ste 48-200
Quincy, IL 62305-5875

Phone 217-214-6250 · Fax 217-366-1767

Mailing address

4800 Maine St Ste 48-200
Quincy, IL 62305-5875

Phone 217-214-6250 · Fax 217-366-1767

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