Individual
DR. JERRY D SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 S MAIN ST, ROCKFORD, OH 45882-9228
(419) 363-3008
(419) 363-2093
Mailing address
506 S MAIN ST, ROCKFORD, OH 45882-9228
(419) 363-3008
(419) 363-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
398291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349680
—
OH
Enumeration date
06/09/2005
Last updated
11/10/2020
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