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Individual
MR. MATT E. HERBER
Active
Individual
MR. MATT E. HERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5054
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040598
WELLMARK BCBS OF SD
SD
01
—
1675123
AMERICAS PPO
—
01
—
237207
MIDLANDS CHOICE
—
05
—
397140600
—
MN
01
—
4996051
WELLMARK BCBS OF SD
SD
01
—
5054
DAKOTACARE
SD
05
—
5611290
—
SD
05
—
5611292
—
SD
01
—
57022A012
TRICARE
—
01
—
70R64HE
BCBS OF MN
MN
01
—
AH9021031595
PREFERRED ONE
—
Enumeration date
03/15/2006
Last updated
08/23/2010
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