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Individual

JOHN S FERNBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24700 LORAIN RD, SUITE 304, NORTH OLMSTED, OH 44070-2088
(440) 777-5505
(440) 777-7037
Mailing address
24700 LORAIN RD, SUITE 304, NORTH OLMSTED, OH 44070-2088
(440) 777-5505
(440) 777-7037

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35036746
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0840175
OH
01
P00701429
RAILROAD CARE
OH
Enumeration date
05/17/2006
Last updated
06/12/2009
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