Individual
DR. BRIAN JAMES HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Mailing address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3031-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38627500
—
WI
Enumeration date
07/02/2006
Last updated
08/10/2011
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