Individual
JEROLD A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(440) 523-9966
(216) 584-2895
Mailing address
55435 TR 170, FRESNO, OH 43824
(740) 322-0332
(740) 622-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35042571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422859
—
OH
Enumeration date
06/16/2005
Last updated
02/25/2015
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