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1235110255
JONATHAN D MAIN
KENOSHA, WI
NPI
1235110255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 38865)
Enumeration Date
2005-11-08
Last Update Date
2018-09-19
Business Address
JONATHAN D MAIN MD
7401 104TH AVE SUITE 110
KENOSHA, WI 53142-7845
Phone number: 262-764-5595
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Mailing Address
JONATHAN D MAIN MD
7401 104TH AVE SUITE 110
KENOSHA, WI 53142-7845
Phone number: 262-764-5595
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