Individual
DR. KAREN LEE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Mailing address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3016-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000047940
MEDICARE PTAN
—
05
—
38627600
—
WI
Enumeration date
07/11/2006
Last updated
08/11/2011
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