Individual
JAMES HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 DAN ST, DETROIT LAKES, MN 56501-6972
(218) 234-1095
Mailing address
1632 DAN ST, DETROIT LAKES, MN 56501-6972
(218) 234-1095
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC639142
MN
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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