Individual
JEROMY LEE BALDUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, RDN
Contact information
Practice address
5700 MONROE ST UNIT 310, SYLVANIA, OH 43560-2768
(419) 578-7555
(419) 539-6336
Mailing address
5700 MONROE ST UNIT 310, SYLVANIA, OH 43560-2768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007502RX
OH
363A00000X
Physician Assistant
5601012342
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/09/2026
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