Individual
DR. JONATHAN AGNER FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
(301) 295-4141
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C164795
CA
207X00000X
Orthopaedic Surgery Physician
Primary
D0059197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D59197
MD LICENSE
MD
Enumeration date
10/08/2005
Last updated
09/29/2022
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