Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MARION DETRICK, M.D.
ActiveDR. JONATHAN MARION DETRICK, M.D. is a Gynecology healthcare provider located in MAUMEE, Ohio. NPI 1861481202 is currently active in the NPPES registry. Verify at CMS.
Gynecology · MAUMEE, OH
Registration Details
- NPI Number
- 1861481202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.848038036473 yrs)
- Last Updated
- Jun 11, 2008
- License
-
35043922 (OH)
Practice Information
- Address
-
5757 MONCLOVA RDSUITE 14MAUMEE, OH, 435371863Browse OH providers · Browse ZIP 43537
- Phone
- 4198933316
- Fax
- 4198932320
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.