Individual
CHAD E HERMSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
N9115 LEGLER RD, BROOKLYN, WI 53521-9800
(608) 279-7085
Mailing address
N9115 LEGLER RD, BROOKLYN, WI 53521-9800
(608) 279-7085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1741-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41988900
—
WI
01
—
60504
DEAN HEALTH INSURANCE
WI
Enumeration date
05/03/2006
Last updated
04/09/2026
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