Individual
DR. MARLON L HERMITANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-098039
IL
207R00000X
Internal Medicine Physician
36685
WI
207RR0500X
Rheumatology Physician
Primary
36685
WI
Other
Enumeration date
08/23/2006
Last updated
11/23/2021
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