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Individual

MARK E. HERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 N GRANDVIEW AVE STE 2300, DUBUQUE, IA 52001-6388
(563) 557-9111
(563) 589-4046
Mailing address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30161
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1117986
IA
05
32199200
WI
Enumeration date
03/17/2006
Last updated
04/06/2021
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