Individual
DR. CRAIG CHARLES HERTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 588-0506
(563) 588-0451
Mailing address
310 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 588-0506
(563) 588-0451
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25217
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034587
—
IA
01
—
42098297111
JOHN DEERE PROVIDER ID
IA
Enumeration date
11/10/2005
Last updated
09/24/2007
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