Individual
JODIE HERMANN
Active
Individual
JODIE HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2175
ME
207R00000X
Internal Medicine Physician
70342
CT
208D00000X
General Practice Physician
2175
ME
Other
Enumeration date
05/21/2007
Last updated
03/31/2022
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