Individual
DR. JACQUELINE MARIE ERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1020 WOODMAN DR STE 105, DAYTON, OH 45432-1410
(937) 723-7772
(937) 226-9605
Mailing address
1020 WOODMAN DR STE 105, DAYTON, OH 45432-1410
(937) 723-7772
(937) 226-9605
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34016439
OH
Other
Enumeration date
03/29/2019
Last updated
11/04/2025
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