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Individual
JONATHAN MEDERNACH
Active
Individual
JONATHAN MEDERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125070264
IL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
34.018079
OH
2080P0206X
Pediatric Gastroenterology Physician
34.018079
OH
Other
Enumeration date
06/09/2017
Last updated
06/15/2026
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