Individual
DUANE A HERMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5 TEAMQUEST WAY, CLEAR LAKE, IA 50428-2296
(641) 357-1003
(641) 357-1005
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00978
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I7658
MEDICARE GROUP NUMBER
IA
Enumeration date
09/04/2007
Last updated
11/26/2008
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