Organization
NEW HORIZON DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE A JAHNKE M.D. (OWNER)
(330) 296-2879
Entity
Organization
Contact information
Practice address
6693 N CHESTNUT ST STE 125A, RAVENNA, OH 44266-3900
(330) 296-2879
(330) 296-4656
Mailing address
6693 N CHESTNUT ST STE 125A, RAVENNA, OH 44266-3900
(330) 296-2879
(330) 296-4656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-07-30985
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352318
ANTHEM
ND
01
—
292581828002
MEDICAL MUTUAL
ND
Enumeration date
01/26/2007
Last updated
05/02/2008
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