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Organization

ROBERT HERMANN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT HERMANN MD (DOCTOR)
(509) 999-1790
Entity
Organization

Contact information

Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6573
(253) 984-1079
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 584-3577
(253) 584-8916

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD60620822
STATE LICENSE
WA
Enumeration date
08/08/2017
Last updated
06/16/2018
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