Individual provider · Type 1 NPI

John P. Bonavia, MD

Family Medicine Physician · Port Washington, WI

NPI number 1497716880 Active

Practice location

1317 W Grand Ave
Port Washington, WI 53074-2075

Mailing address

4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing
Glendale, WI 53212-1082

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X23729 (WI)

Family Medicine Physician: 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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About NPI 1497716880

John P. Bonavia, MD's National Provider Identifier is 1497716880, issued on Mar 28, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port Washington, WI. The record was last updated on Jun 5, 2012.