Individual
CLAYTON REED HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
(616) 940-0040
Mailing address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MI
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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