Individual
MATTHEW HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6010 MILLS CIVIC PKWY, STE 200, WEST DES MOINES, IA 50266-8345
(515) 224-9666
(515) 224-5913
Mailing address
6010 MILLS CIVIC PKWY, STE 200, WEST DES MOINES, IA 50266-8345
(515) 224-9666
(515) 224-5913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38714
IA
207Q00000X
Family Medicine Physician
R-8768
IA
208600000X
Surgery Physician
94-06938
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093974172
—
IA
Enumeration date
06/04/2008
Last updated
08/15/2012
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