Individual
DR. JEFFREY A HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1526 N TAYLOR DR, SHEBOYGAN, WI 53081-1927
(920) 803-1598
(920) 803-1599
Mailing address
1526 N TAYLOR DR, SHEBOYGAN, WI 53081-1927
(920) 803-1598
(920) 803-1599
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
39578
WI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
39578
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32429800
—
WI
Enumeration date
09/12/2007
Last updated
02/18/2013
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