person
Dr. Jonathan Marion Detrick, MD
Gynecology Physician in Maumee, Ohio
NPI 1861481202

Jonathan Marion Detrick is a Gynecology Physician based in Maumee, OH and is specialized in Gynecology. Jonathan Marion Detrick practices in Maumee, OH and has the professional credentials of MD. The NPI Number for Jonathan Marion Detrick is 1861481202 and holds a License No. 35043922 (Ohio).

The current practice location address for Jonathan Marion Detrick is 5757 Monclova Rd, Maumee, OH and can be reached out via phone at 419-893-3316 and via fax at 419-893-2320.

Location: 5757 Monclova Rd, Maumee, OH, 43537-1863
person
Provider Profile Details
NPI Number
1861481202
Provider Name
Jonathan Marion Detrick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5757 Monclova Rd, Maumee, OH, 43537-1863
Phone Number
419-893-3316
Fax Number
419-893-2320
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB3101 01 OH RAILROAD MEDICARE
0513331 05 OH
institution
Provider Business Practice Location Address Details
Address
5757 Monclova Rd
City
State
Zip
43537-1863
Phone Number
419-893-3316
Fax Number
419-893-2320
person
Provider Business Mailing Address Details
Address
5757 Monclova Rd
City
State
Zip
43537-1863
Phone Number
419-893-3316
Fax Number
419-893-2320
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
35043922 (Ohio)
Definition
Definition to come...
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