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Individual

HERMAN OSCAR LYLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 6TH AVE E, KALISPELL, MT 59901-5008
(406) 755-7366
Mailing address
705 6TH AVE E, KALISPELL, MT 59901-5008
(406) 755-7366

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16129
MT
207R00000X
Internal Medicine Physician
46371
CO

Other

Enumeration date
01/26/2007
Last updated
11/27/2023
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