Hermansen, Matthew David

Hermansen, Matthew David is an individual health care provider with primary practice located at 14700 28Th Ave N Ste 20 , Plymouth MN 55447-4876. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hermansen, Matthew David can be contacted via phone (763) 559-3779.

Contact Information

Primary practice address
14700 28Th Ave N Ste 20 Plymouth MN 55447-4876
Phone: (763) 559-3779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 46508 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02005166A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10046239 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Q9372 Texas

Profile Details

NPI number 1437418324
LBN Legal business name Hermansen, Matthew David
Credentials D.O., PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Jun 7th, 2024 - about 5 months 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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