Individual
DR. JONATHAN MICHAEL STOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2145 N FAIRFIELD RD, BEAVERCREEK, OH 45431-2580
(937) 702-4031
(937) 702-4039
Mailing address
2145 N FAIRFIELD RD, BEAVERCREEK, OH 45431-2580
(937) 702-4031
(937) 702-4039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.141311
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/03/2021
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