Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MN |
NPI | 1457300527 |
---|---|
Provider Name | Pamela Rae Herder |
First Address | Minneapolis, MN 55407-1320 |
Second Address | Minneapolis, MN 55407-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0704278 | MEDICA (01) | MN |
2327569 | AMERICAS PRO (01) | MN |
333481043304 | PREFERRED ONE (01) | MN |
64641CE | BLUE CROSS (01) | MN |
HP50671 | HEALTH PARTNERS (01) | MN |