Provider Demographics
NPI:1215254917
Name:SKARIE, JONATHAN M (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:M
Last Name:SKARIE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:466 S TRIMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3416
Mailing Address - Country:US
Mailing Address - Phone:419-756-8000
Mailing Address - Fax:419-756-2601
Practice Address - Street 1:466 S TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3416
Practice Address - Country:US
Practice Address - Phone:419-756-8000
Practice Address - Fax:419-756-2601
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI56485207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology