Individual
ELISE J HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 S CHESTNUT ST, SUITE E, ELLENSBURG, WA 98926-4815
(509) 962-5437
(509) 962-5438
Mailing address
611 S CHESTNUT ST, SUITE E, ELLENSBURG, WA 98926-4815
(509) 962-5437
(509) 962-5438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00027851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059948
—
WA
Enumeration date
07/12/2006
Last updated
07/08/2007
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