| John P Bonavia, MD | |
|
1317 W Grand Ave, Port Washington, WI 53074-2075 | |
| (262) 268-6998 | |
| Not Available |
| Full Name | John P Bonavia |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1317 W Grand Ave, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497716880 | NPI | - | NPPES |
| 30656000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23729 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John P Bonavia, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 961-2750 | John P Bonavia, MD 1317 W Grand Ave, Port Washington, WI 53074-2075 Ph: (262) 268-6998 |
Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 | |
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962 | |
Adam E. Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Michael A Martella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074 Phone: 920-476-6400 Fax: 262-725-0630 | |
Scot A Wilfong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5118 | |
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 |