Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35037553H | OH |
NPI | 1366471989 |
---|---|
Provider Name | Dr. Eugene David Herrmann |
First Address | Middletown, OH 45042-3750 |
Second Address | Middletown, OH 45042-3464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A75162 | (02) | OH |