# JONATHAN F. DILLER, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184640658
- **Authorized official:** DR. JONATHAN FORD DILLER M.D. (PRESIDENT)
- **Authorized official phone:** (419) 332-9978

## Contact information

- **Practice address:** 2575 HAYES AVE, SUITE 4, FREMONT, OH 43420-5201
- **Practice address phone:** (419) 332-9978
- **Practice address fax:** (419) 332-7989
- **Mailing address:** 2575 HAYES AVE, SUITE 4, FREMONT, OH 43420-5201
- **Mailing address phone:** (419) 332-9978
- **Mailing address fax:** (419) 332-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35-045285 | OH | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 05/28/2008