# DR. DEBORAH ANN HERRMANN

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

## Provider details

- **NPI number:** 1508862756
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35894 | IA | — |
| 207Q00000X | Family Medicine Physician | 36988 | MO | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 12/05/2023

## 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 |