Individual
JEFFREY S HERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 OSBORNE RD NE, UNITY RADIATION THERAPY CTR, FRIDLEY, MN 55432-2718
(763) 784-1182
(763) 784-1637
Mailing address
6950 FRANCE AVE S, MPLS RADIATION ONCOLOGY, EDINA, MN 55435-2025
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104838
UCARE
MN
01
—
110584
CHOICE PLUS
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2424221
MEDICA
MN
01
—
25133
AMERICA'S PPO
MN
01
—
2D631HE
BLUE CROSS/BLUE SHIELD
MN
05
—
32077400
—
WI
01
—
963070250011
PREFERRED ONE
MN
01
—
HP13510
HEALTH PARTNERS
MN
Enumeration date
08/17/2005
Last updated
07/08/2007
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