Organization
INTERMED ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S. SHELDON D.O. (OWNER)
(419) 872-3213
Entity
Organization
Contact information
Practice address
1103 VILLAGE SQUARE DR, SUITE #100, PERRYSBURG, OH 43551-1783
(419) 872-3213
(419) 872-9549
Mailing address
1103 VILLAGE SQUARE DR, SUITE #100, PERRYSBURG, OH 43551-1783
(419) 872-3213
(419) 872-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-003664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611341
—
OH
Enumeration date
06/08/2006
Last updated
06/18/2010
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