Individual
HERSCHELL SERVIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 N LEBANON ST STE 150, LEBANON, IN 46052-8622
(765) 485-8880
(765) 485-8889
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01026360
IN
208D00000X
General Practice Physician
01026360
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191250
—
IN
Enumeration date
09/29/2005
Last updated
06/24/2022
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