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Individual
DR. DEBORAH ANN HERRMANN
Active
Individual
DR. DEBORAH ANN HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35894
IA
207Q00000X
Family Medicine Physician
Primary
36988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454215
—
IA
01
—
18134090
BCBS PROV #
MO
05
—
203230651
—
MO
01
—
36988
LICENSE
MO
01
—
38157
BLUE SHIELD OF IOWA
IA
01
—
P00192136
RAILROAD MEDICARE
IA
Enumeration date
06/22/2005
Last updated
12/05/2023
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