Individual
DR. JOY MARIE ELLERBROCK-HEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
301 E STATE ROUTE 613, CONTINENTAL, OH 45831-9133
(419) 596-3062
Mailing address
PO BOX 42, CONTINENTAL, OH 45831-0042
(419) 596-3062
(419) 596-3064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5716/T2630
OH
Other
Enumeration date
08/17/2007
Last updated
10/05/2022
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