Individual
ETHAN HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2365 MCKNIGHT RD N, MAPLEWOOD, MN 55109-2238
(651) 760-3236
Mailing address
2365 MCKNIGHT RD N, MAPLEWOOD, MN 55109-2238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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