Individual
DR. JACK ROBERT HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
727 28TH ST SE, GRAND RAPIDS, MI 49548-1303
(616) 514-5602
(616) 247-9875
Mailing address
727 28TH ST SE, GRAND RAPIDS, MI 49548-1303
(616) 514-5602
(616) 247-9875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040590
MI
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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