Organization
PROFESSIONAL OB/GYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R FUNK M.D. (PRESIDENT)
(330) 725-5282
Entity
Organization
Contact information
Practice address
970 E WASHINGTON ST STE 5F, MEDINA, OH 44256-2181
(330) 725-5282
Mailing address
970 E WASHINGTON ST STE 5F, MEDINA, OH 44256-2181
(330) 725-5282
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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