Individual
JOHN CHARLES FONDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 E MARKET ST, SUITE 103, AKRON, OH 44304-1613
(330) 434-5978
(330) 434-6908
Mailing address
550 E MARKET ST, SUITE 103, AKRON, OH 44304-1613
(330) 434-5978
(330) 434-6908
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35.090057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2848744
—
OH
01
—
4239791
MEDICARE ID
OH
Enumeration date
04/30/2008
Last updated
01/12/2012
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