Organization
GLENN E HERRMANN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN E HERRMANN MD (OWNER)
(303) 664-9400
Entity
Organization
Contact information
Practice address
130 OLD LARAMIE TRL, LAFAYETTE, CO 80026-7014
(303) 664-9400
(303) 665-1013
Mailing address
130 OLD LARAMIE TRL, LAFAYETTE, CO 80026-7014
(303) 664-9400
(303) 665-1013
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
44716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256783
—
CO
01
—
44716
STATE LICENSE
CO
Enumeration date
07/01/2008
Last updated
11/19/2020
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