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John Bonavia, MD
NPI 1497716880 · on the registry since 2006
Practice
- Address
- 1317 W Grand Ave
Port Washington, WI 53074 - Phone
- (262) 268-6998
- Organisation at this address
- Joshua E Leute Dds Sc
Forefront Dermatology, S.C.
Port Washington Podiatry IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin