Individual
MARK J HERMACINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 CENTRAL PARK DRIVE, SUITE 200, STEAMBOAT SPRINGS, CO 80487-8853
(970) 879-9299
Mailing address
940 CENTRAL PARK DR STE 200, STEAMBOAT SPRINGS, CO 80487-8853
(970) 879-9299
(866) 228-0896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35333
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353333
—
CO
Enumeration date
09/27/2006
Last updated
06/16/2021
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