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Robert A Bonzani, MD
Urology Physician in Goshen, Indiana
NPI 1376548750

Robert A Bonzani is a Urology Physician based in Goshen, IN. Robert A Bonzani practices in Goshen, IN and has the professional credentials of MD. The NPI Number for Robert A Bonzani is 1376548750 and holds a License No. 03609775 (Indiana).

The current practice location address for Robert A Bonzani is 1615 Winsted Dr, Goshen, IN and can be reached out via phone at 574-364-2875.

Location: 1615 Winsted Dr, Goshen, IN, 46526-4696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376548750
Provider Name
Robert A Bonzani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1615 Winsted Dr, Goshen, IN, 46526-4696
Phone Number
574-364-2875
Fax Number
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5642652 01 IL AETNA PROVIDER NUMBER
036097795 05 IL
16290 05 ND
964290012 01 IL PRNGRSMTH MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1615 Winsted Dr
City
Goshen
State
Indiana
Zip
46526-4696
Phone Number
574-364-2875
Fax Number
person
Provider Business Mailing Address Details
Address
1615 Winsted Dr
City
Goshen
State
Indiana
Zip
46526-4696
Phone Number
574-364-2875
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12014 (North Dakota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
03609775 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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