Individual
ROBERT P. BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968720300
—
MN
Enumeration date
12/20/2005
Last updated
03/02/2023
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