Individual
JONATHAN ROSENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Mailing address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13708
ND
207Q00000X
Family Medicine Physician
Primary
35.124430
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109585
—
OH
Enumeration date
06/27/2012
Last updated
11/09/2015
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