# PAUL V. BONETZKY DO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR. PAUL V. BONETZKY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770705345
- **Authorized official:** MR. DEAN P BONETZKY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (937) 843-5000

## Contact information

- **Practice address:** 8200 STATE ROUTE 366, RUSSELLS POINT, OH 43348-9670
- **Practice address phone:** (937) 843-5000
- **Mailing address:** 8200 STATE ROUTE 366, RUSSELLS POINT, OH 43348-9670
- **Mailing address phone:** (937) 843-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/21/2022