JOHN BONAVIA, MD

Family Medicine

Active Individual
NPI: 1497716880

Practice Address

1317 W GRAND AVE
Port Washington, WI 53074

Phone: (262) 268-6998

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 23729 (WI)

Frequently Asked Questions

NPI 1497716880 is the National Provider Identifier for JOHN BONAVIA, MD, a Family Medicine provider located in Port Washington, WI. This NPI was enumerated on March 28, 2006.
JOHN BONAVIA, MD practices at 1317 W GRAND AVE, Port Washington, WI 53074.

Quick Facts

NPI
1497716880
Type
Individual
Enumerated
Mar 28, 2006
Last Updated
Jun 5, 2012

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