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Individual

JON BERKELEY SILK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1752 W HIGH ST, PIQUA, OH 45356-9325
(937) 773-3737
Mailing address
3170 KETTERING BLVD BLDG B2, MORAINE, OH 45439-1924
(937) 991-3188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.098705
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0065396
OH
Enumeration date
10/18/2007
Last updated
03/28/2022
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