Individual
RUSSELL J HERMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7160
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31322-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457304214
—
WI
Enumeration date
05/19/2006
Last updated
05/24/2022
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