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Individual

DR. MILTON PAUL HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
117 GLOVER ST., TWISP, WA 98856
(509) 997-5201
(509) 997-5202
Mailing address
117 GLOVER ST., TWISP, WA 98856-0578
(509) 997-5201
(509) 997-5202

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043 TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0086930
LABOR AND INDUSTRY
WA
05
2939304
WA
Enumeration date
09/12/2005
Last updated
10/30/2008
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