Individual
DR. DEBORAH ANN HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 S HIGHWAY 65 BLDG A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 831-3306
Mailing address
2305 S HIGHWAY 65 BLDG A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 831-3306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35894
IA
207Q00000X
Family Medicine Physician
Primary
36988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454215
—
IA
01
—
18134090
BCBS PROV #
MO
05
—
203230651
—
MO
01
—
36988
LICENSE
MO
01
—
38157
BLUE SHIELD OF IOWA
IA
01
—
P00192136
RAILROAD MEDICARE
IA
Enumeration date
06/22/2005
Last updated
12/05/2023
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