Individual
DR. JONATHAN F. DILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1479 N RIVER RD, FREMONT, OH 43420
(419) 332-9978
(419) 332-7989
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-045285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110993
ANTHEM
OH
01
—
0004312244
AETNA
OH
05
—
0437049
—
OH
Enumeration date
04/01/2006
Last updated
06/06/2018
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