Individual
DR. BRUCE D HERMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
439 E OLD STATE ROAD 14, WINAMAC, IN 46996-8702
(574) 946-6111
(574) 946-6112
Mailing address
439 E OLD STATE ROAD 14, WINAMAC, IN 46996-8702
(574) 946-6111
(574) 946-6112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000388
IN
111N00000X
Chiropractor
2930
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181411
ANTHEM
IN
Enumeration date
06/20/2005
Last updated
07/08/2007
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