Individual
DR. HERMAN BURGERMEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 W VOTAW ST STE B, PORTLAND, IN 47371-1322
(260) 726-2890
(260) 726-3131
Mailing address
510 W VOTAW ST STE B, PORTLAND, IN 47371-1322
(260) 726-2890
(260) 726-3131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01043176A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090948
BC/BS
IN
Enumeration date
07/14/2006
Last updated
07/08/2007
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