Doctor Name: | DR. DENNIS J. BUONO |
NPI Number: | 1144209156 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34008701 |
Business Practice Address: | 2621 E Harbor Rd Port Clinton, OH - 434522607 |
Business Phone Number: | 4197329975 |
Business Fax Number: | 4197326415 |
Mailing Address: | 2621 E Harbor Rd, PORT CLINTON |
State: | OH |
Postal Code: | 434522607 |
Phone Number: | 4197329975 |
Fax Number: | 4197326415 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 34008701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |