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John P Bonavia, MD
Family Medicine Physician in Port Washington, Wisconsin
NPI 1497716880

John P Bonavia is a Family Medicine Physician based in Glendale, WI. John P Bonavia practices in Port Washington, WI and has the professional credentials of MD. The NPI Number for John P Bonavia is 1497716880 and holds a License No. 23729 (Wisconsin).

The current practice location address for John P Bonavia is 1317 W Grand Ave, Port Washington, WI and can be reached out via phone at 262-268-6998.

Location: 1317 W Grand Ave, Port Washington, WI, 53212-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497716880
Provider Name
John P Bonavia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1317 W Grand Ave, Port Washington, WI, 53212-1082
Phone Number
262-268-6998
Fax Number
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30656000 05 WI
institution
Provider Business Practice Location Address Details
Address
1317 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2075
Phone Number
262-268-6998
Fax Number
person
Provider Business Mailing Address Details
Address
1317 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2075
Phone Number
262-268-6998
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23729 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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