Individual
JULIE E HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7334
Mailing address
24701 EUCLID AVE, 3RD FL, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA..12344-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157677
—
OH
Enumeration date
06/10/2011
Last updated
03/28/2018
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