Individual
DR. JONATHAN W SIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24200 CHAGRIN BLVD, THE OFFICE PLACE, BEACHWOOD, OH 44122-5550
(216) 283-7690
(216) 766-6084
Mailing address
24200 CHAGRIN BLVD, THE OFFICE PLACE, BEACHWOOD, OH 44122-5550
(216) 283-7690
(216) 766-6084
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35081523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150170
—
OH
Enumeration date
03/20/2007
Last updated
07/08/2007
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