Robert Hermann MD
Clinic/Center, Primary Care in Lakewood, WA. Organization (NPI-2).
NPI number1982129219
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1982129219
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Hermann MD
- Organization subpart
- No
- Enumeration date
- Aug 8, 2017
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4901 108th St SwLakewood, WA 98499-3724
Phone 253-589-6573 · Fax 253-984-1079
Mailing address
Po Box 98886Lakewood, WA 98496-8886
Phone 253-584-3577 · Fax 253-584-8916
Authorized official
Robert Hermann
Doctor
5099991790
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