Individual
JONATHAN BENJAMIN MACKNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-5004
(440) 285-6985
Mailing address
13207 RAVENNA RD., ATTN: ORTHOPEDIC SURGERY, CHARDON, OH 44024-7032
(440) 285-5004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.135189
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
35.135189
OH
Other
Enumeration date
06/30/2008
Last updated
01/11/2021
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