Organization
JOSEPH G HERRMANN MD LLC
Active
Organization
JOSEPH G HERRMANN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN MICHELLE LICAVOLI (OFFICE MANAGER)
(314) 432-0056
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 419A, SAINT LOUIS, MO 63141-8232
(314) 432-0056
(314) 432-6853
Mailing address
1922 DREXEL HILL CT, DES PERES, MO 63131-3647
(314) 432-0056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103604
MO
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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