Individual
KARA HERTZFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5805 MONCLOVA RD, MAUMEE, OH 43537-1839
(419) 824-1952
(419) 824-0344
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(567) 585-1992
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35095467
OH
2085R0001X
Radiation Oncology Physician
4301097412
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174742472
MI MEDICAID-OH LOCATIONS
MI
05
—
1174742472
—
MI
05
—
3085889
—
OH
01
—
P00900979
RR MEDICARE
OH
Enumeration date
04/25/2007
Last updated
11/03/2023
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