Individual
CHAD ANTON HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9004 W WHEELER RD, EVANSVILLE, WI 53536-8331
(608) 921-0960
Mailing address
9004 W WHEELER RD, EVANSVILLE, WI 53536-8331
(608) 921-0960
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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