Hermann, Mark E.

Hermann, Mark E. is an individual health care provider with primary practice located at 350 N Grandview Ave Ste 2300 , Dubuque IA 52001-6388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hermann, Mark E. can be contacted via phone (563) 557-9111.

Contact Information

Primary practice address
350 N Grandview Ave Ste 2300 Dubuque IA 52001-6388
Phone: (563) 557-9111
Fax: (563) 589-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 30161 Iowa

Profile Details

NPI number 1639148810
LBN Legal business name Hermann, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148810 NPPES
Wisconsin MEDICAID 32199200
Wisconsin MEDICAID 1117986

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