Hermitanio, Marlon L

Hermitanio, Marlon L is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Hermitanio, Marlon L can be contacted via phone (920) 288-8100.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36685 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-098039 Illinois
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 36685 Wisconsin

Profile Details

NPI number 1740397355
LBN Legal business name Hermitanio, Marlon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 23rd, 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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