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Individual

KARIN ANNA HERRMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3061
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6749

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81.000109-MD
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000758521
ANTHEM
OH
05
0061683
OH
05
1027038800001
PA
01
204881619
UNITED HEALTHCARE
OH
01
204881619259
CARESOURCE
OH
01
659583
WELLCARE
OH
01
81.000109-MD
LICENSE
OH
01
PO1046202
RAILROAD MEDICARE
OH
Enumeration date
01/23/2012
Last updated
03/05/2013
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