John P Bonavia, MD

NPI #1497716880 in Port Washington, Wisconsin

Provider Information

NPI Number: 1497716880
Entity Type: Individual
Name: John P Bonavia, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 28, 2006
Last Updated: Jun 5, 2012

Practice Location

Address: 1317 W GRAND AVE
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2075
Phone: (262) 268-6998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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