Individual
PATRICK THOMAS HERGENROEDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 W WASHINGTON ST, CHAGRIN FALLS, OH 44022-3026
(440) 247-2644
(440) 247-0131
Mailing address
34 W WASHINGTON ST, CHAGRIN FALLS, OH 44022-3026
(440) 247-2644
(440) 247-0131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-038239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295845
—
OH
Enumeration date
09/26/2005
Last updated
07/08/2007
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