Individual
CAROLYN J SHARROCK-DORSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199740
—
OH
01
—
P00223135
RAILROAD
OH
Enumeration date
05/19/2006
Last updated
12/13/2022
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