Individual
CHARLOTTE HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551-7000
(419) 794-9292
Mailing address
7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
816127
TX
207Q00000X
Family Medicine Physician
Primary
390200000X
OH
Other
Enumeration date
08/31/2012
Last updated
04/09/2021
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