Individual
BEVERLY SCHOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
(567) 585-0010
(567) 225-3490
Mailing address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
(567) 585-0010
(567) 225-3490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35056704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141231
ANTHEM
OH
01
—
00306
PARAMOUNT
OH
01
—
0634067
AETNA
OH
05
—
0729975
—
OH
01
—
12-01205
UHC
OH
01
—
370012703
RRMC
OH
Enumeration date
08/11/2005
Last updated
02/24/2020
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