Individual
JOHNATHON S. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2409 CHERRY ST, SUITE 207, TOLEDO, OH 43608-2625
(419) 251-4696
(419) 251-3572
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43624-1120
(419) 251-2673
(419) 251-0916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35045022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428684
—
OH
Enumeration date
09/08/2005
Last updated
10/25/2007
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