Individual
MS. CHRISTINE M HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(260) 234-5110
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002540A
IN
363AM0700X
Medical Physician Assistant
5601003497
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003497
LICENSE #
MI
Enumeration date
03/22/2006
Last updated
01/13/2021
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