Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN P BONAVIA, MD
ActiveJOHN P BONAVIA, MD is a Family Medicine healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1497716880 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1497716880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.396254584812 yrs)
- Last Updated
- Jun 5, 2012
- License
-
23729 (WI)
Practice Information
- Address
-
1317 W GRAND AVEPORT WASHINGTON, WI, 530742075Browse WI providers · Browse ZIP 53074
- Phone
- 2622686998
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORT WASHINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM L HALL | M.D. | 1992747091 |
| MARK R FITZSIMMONS | MD | 1639284706 |
| TEDMOND R O'REILLY | MD | 1851408231 |
| SCOT A WILFONG | DO | 1306953278 |
| STEPHANIE M MAVES | MD | 1003925629 |
| MICHAEL A MARTELLA | D.O. | 1194849398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.