Individual
DR. JONATHAN KENNETH MARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8536
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
(708) 216-1249
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036152112
IL
207L00000X
Anesthesiology Physician
Primary
4301506457
MI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/22/2017
Last updated
08/14/2023
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