Individual
JUDD M HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPT, COMT
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021340
MI
225100000X
Physical Therapist
2305202481
VA
225100000X
Physical Therapist
7865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102255327
OWCP FACILITY ID
—
Enumeration date
08/08/2006
Last updated
06/19/2014
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