Individual
JONATHAN H WYNBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5264 LEE RD, MAPLE HEIGHTS, OH 44137-1232
(305) 628-6117
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35088389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683510
—
OH
Enumeration date
09/01/2006
Last updated
05/11/2020
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