Professional Ob/gyn, Inc.

NPI #1013162114 in Medina, Ohio

Provider Information

NPI Number: 1013162114
Entity Type: Organization
Organization Name: Professional Ob/gyn, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 18, 2008
Last Updated: Nov 18, 2008

Practice Location

Address: 970 E WASHINGTON ST STE 5F
City: Medina
State: Ohio
ZIP Code: 44256-2181
Phone: (330) 725-5282

Authorized Official

Name: DR. JONATHAN R FUNK, M.D.
Title: PRESIDENT
Phone: (330) 725-5282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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