Individual
DR. EDWARD D. HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Mailing address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01533
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00162
WELLMARK BC/BS IOWA
IA
05
—
0065037
—
IA
Enumeration date
01/02/2006
Last updated
10/22/2007
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