Jonathan Marion Detrick in Maumee - Gynecology
Jonathan Marion Detrick - NPI 1861481202
Jonathan Marion Detrick is a Gynecology in Maumee, Ohio. Jonathan Marion Detrick practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jonathan Marion Detrick is 1861481202. The last update date is 2008-06-11.
Jonathan Marion Detrick's current location address is 5757 Monclova Rd, Maumee, Ohio. You can contact this provider via phone number 4198933316 and fax number 4198932320. The mailing address for Jonathan Marion Detrick is 5757 Monclova Rd, Maumee, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Marion Detrick |
|---|---|
| Address | 5757 Monclova Rd, Maumee, Ohio |
| Phone Number | 4198933316 |
| Fax Number | 4198932320 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861481202 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 5757 Monclova Rd |
|---|---|
| City | Maumee |
| State | Ohio (OH) |
| Post Code | 435371863 |
| Phone Number | 4198933316 |
| Fax Number | 4198932320 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 35043922 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB3101 | OH | RAILROAD MEDICARE | |
| 513331 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jonathan Marion Detrick by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathan Marion Detrick has been assigned the NPI (National Provider Identifier) 1861481202. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jonathan Marion Detrick's facilities are geographically located?
The facilities of Jonathan Marion Detrick are physically situated at the following location: 5757 Monclova Rd, Maumee, OH, 435371863.
What is the area of specialization for Jonathan Marion Detrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Marion Detrick is Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861481202 to Jonathan Marion Detrick?
The Jonathan Marion Detrick received its 1861481202 assignment from the Centers for Medicare & Medicaid Services on 2005-10-18.
When was the Jonathan Marion Detrick's information last updated?
The Jonathan Marion Detrick's information was last updated on 2008-06-11.