Individual
DR. GLENN ERIC HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 OLD LARAMIE TRL E BLDG 4, LAFAYETTE, CO 80026-7014
(303) 664-9400
(303) 666-5362
Mailing address
PO BOX 767, LAFAYETTE, CO 80026-0767
(303) 664-9400
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
44716
CO
208200000X
Plastic Surgery Physician
44716
CO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
44716
CO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
44716
CO
208600000X
Surgery Physician
44716
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
44716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15035859
—
CO
Enumeration date
08/01/2006
Last updated
03/29/2016
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