Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 04309 | IA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4309 | IA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101017240 | MI |
NPI | 1356540884 |
---|---|
Provider Name | Dr. Jean Dorthy Hermsen |
First Address | Ames, IA 50010-3014 |
Second Address | Ames, IA 50010-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2007 |
Last Update Date | 13/11/2020 |