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Individual

MICHAEL JACOB HERMELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21212 NORTHWEST FWY STE 505, CYPRESS, TX 77429-5888
(832) 688-8400
(832) 688-8430
Mailing address
1959 NE PACIFIC ST RM BB-527, BOX 356421, SEATTLE, WA 98195-6421
(206) 543-3605

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S1607
TX
207RC0000X
Cardiovascular Disease Physician
Primary
S1607
TX

Other

Enumeration date
03/22/2016
Last updated
02/22/2022
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