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Individual

DR. MARY C. GERHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
343 W BAGLEY RD, BEREA, OH 44017-1370
(440) 891-1940
(440) 891-9028
Mailing address
1501 BLOSSOM PARK AVE, LAKEWOOD, OH 44107-4403
(216) 228-2053
(440) 891-9028

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4107
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2060059
OH
Enumeration date
07/21/2006
Last updated
07/09/2007
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