Organization
PERFUSION USA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HERMAN MS, CCP (MANAGING MEMBER)
(605) 836-1227
Entity
Organization
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
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL215183
SD BUSINESS LICENSE
SD
Enumeration date
02/23/2022
Last updated
02/23/2022
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