Jonathan D Main, MD

NPI #1235110255 in Kenosha, Wisconsin

Provider Information

NPI Number: 1235110255
Entity Type: Individual
Name: Jonathan D Main, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Nov 8, 2005
Last Updated: Sep 19, 2018

Practice Location

Address: 7401 104TH AVE
Address 2: SUITE 110
City: Kenosha
State: Wisconsin
ZIP Code: 53142-7845
Phone: (262) 764-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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