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Individual

THOMAS HERRMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
4795 CLOCK TOWER LN S, FARGO, ND 58104-3957
(701) 388-4401

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R218913-6
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R34422
ND

Other

Enumeration date
12/31/2016
Last updated
12/31/2016
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