Individual
DR. JARED DANIEL BUNEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1932 NILES CORTLAND RD NE STE B, WARREN, OH 44484-1055
(330) 856-2520
(330) 856-2530
Mailing address
1932 NILES CORTLAND RD NE STE B, WARREN, OH 44484-1055
(330) 856-2520
(330) 856-2530
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34010109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050016
—
OH
01
—
H009300
MEDICARE PTAN
OH
Enumeration date
06/03/2008
Last updated
09/20/2018
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