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Individual
THOMAS M HERRMANN
Active
Individual
THOMAS M HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002598L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009566880001
—
PA
01
—
01319201
CAPITAL BLUE CROSS
PA
01
—
107474
HIGHMARK BLUE SHIELD
PA
01
—
1515010
GATEWAY
PA
Enumeration date
12/22/2005
Last updated
04/22/2008
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