Individual
MR. MICHAEL HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCP
Contact information
Practice address
1316 W WICKLOW CT, SIOUX FALLS, SD 57108-3252
(605) 280-1377
Mailing address
1316 W WICKLOW CT, SIOUX FALLS, SD 57108-3252
(605) 280-1377
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
1000-00596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2MI00034000
NJ LICENSE
NJ
Enumeration date
12/17/2020
Last updated
02/23/2022
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