Individual
JOHN HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(904) 210-9466
Mailing address
211 DUNDEE AVE, RICHMOND, VA 23225-4805
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101274443
VA
208100000X
Physical Medicine & Rehabilitation Physician
86645
GA
Other
Enumeration date
03/21/2017
Last updated
10/27/2022
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