Individual
DR. JENNIFER DAWN BAHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29111 CEDAR RD, MAYFIELD HEIGHTS, OH 44124-4005
(440) 646-1600
(440) 646-1505
Mailing address
2000 AUBURN DR, STE 350, BEACHWOOD, OH 44122-4327
(440) 646-1600
(440) 646-1500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.123019
OH
207N00000X
Dermatology Physician
57-012117
OH
207NS0135X
Procedural Dermatology Physician
57-012117
OH
207R00000X
Internal Medicine Physician
57.012117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104633
—
OH
Enumeration date
05/20/2007
Last updated
11/21/2025
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