Individual
JONATHAN ROBERT HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
1335 PINE HILL CT, SAINT JOSEPH, MI 49085-2830
(269) 207-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101028436
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/05/2022
Last updated
06/04/2025
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