NPI 1235110255

Jonathan D Main, MD

Practitioner Orthopaedic Surgery Physician Kenosha, WI

Practice location

Address: 7401 104th Ave Suite 110, Kenosha, WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 38865 (WI)

Other Orthopaedic Surgery providers in Wisconsin →

Registry record

NPI: 1235110255
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2005
Record last updated: 19 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.