# JONATHON R KIRSCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619903846
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 3247 | AZ | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 63011-21 | WI | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 04/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 390732 | — | AZ |