Individual provider · Type 1 NPI

Jonathan Marion Detrick, MD

Gynecology Physician · Maumee, OH

NPI number 1861481202 Active

Practice location

5757 Monclova Rd, Suite 14
Maumee, OH 43537-1863

Call (419) 893-3316 Map

Fax (419) 893-2320

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X35043922 (OH)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

31 other providers at this address

About NPI 1861481202

Jonathan Marion Detrick, MD's National Provider Identifier is 1861481202, issued on Oct 18, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Maumee, OH. The record was last updated on Jun 11, 2008.