Individual
DR. JONATHAN STANLEY JEWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301507690
MI
2085R0202X
Diagnostic Radiology Physician
Primary
A125575
CA
208600000X
Surgery Physician
2008016543
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA141087
MEDICARE PTAN
CA
01
—
CA142212
MEDICARE PTAN
CA
Enumeration date
06/20/2008
Last updated
01/28/2025
Update your record
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