Individual
DR. JONATHAN F OSBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Mailing address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801103552
BLUE CROSS PIN
MI
05
—
4418524
—
MI
01
—
80188668
RAILROAD MEDICARE
MI
Enumeration date
06/24/2006
Last updated
03/07/2023
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