| Robert Hermann Md | |
|
4901 108th St Sw Lakewood WA 98499-3724 | |
| (253) 589-6573 | |
| (253) 984-1079 |
| Full Name | Robert Hermann Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4901 108th St Sw, Lakewood, Washington |
| Authorized Official Name and Position | Robert Hermann (DOCTOR) |
| Authorized Official Contact | 5099991790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Hermann Md Po Box 98886 Lakewood WA 98496-8886 Ph: (253) 584-3577 | Robert Hermann Md 4901 108th St Sw Lakewood WA 98499-3724 Ph: (253) 589-6573 |
| NPI Number | 1982129219 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982129219 | NPI | - | NPPES |
| MD60620822 | Other | WA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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