# DR. JEAN DORTHY HERMSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356540884
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 04309 | IA | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 4309 | IA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 5101017240 | MI | — |

## Other

- **Enumeration date:** 07/14/2007
- **Last updated:** 11/13/2020