Individual
DR. KARL HEDDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(609) 321-1958
Mailing address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012092
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/09/2014
Last updated
10/05/2017
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