Individual
JONATHAN SIMON FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 GLESSNER AVE, PATHOLOGY DEPARTMENT, MANSFIELD, OH 44903-2269
(419) 526-8509
(419) 520-2846
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35063392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881149
—
OH
Enumeration date
01/18/2007
Last updated
03/26/2014
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