Individual
GREGORY MARK HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, CFP1, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6810
(309) 655-4041
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036152094
IL
Other
Enumeration date
03/31/2015
Last updated
04/01/2025
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