Individual
JOSE MIGUEL DEJESUS-ROLENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 VETERANS DR, JACKSON, OH 45640-9586
(740) 395-8090
(740) 395-8197
Mailing address
1000 VETERANS DR, JACKSON, OH 45640-9586
(740) 395-8090
(740) 395-8197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197993
—
OH
Enumeration date
04/01/2012
Last updated
11/19/2020
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