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DR. BRUCE D HERMANN DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1851396352

Individual Registrant:
DR. BRUCE D HERMANN DC
Gender: M

Location and contact information for practice:
439 E OLD STATE ROAD 14  WINAMAC, IN 46996-8702 US
Tel: 574-946-6111  Fax: 574-946-6112

Contact information for business:
439 E OLD STATE ROAD 14  WINAMAC, IN 46996-8702 US
Tel: 574-946-6111  Fax: 574-946-6112

Registration Information:
NPI: 1851396352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IN08000388
N111N00000XChiropractic Providers
Chiropractor
KY2930

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM000000181411IN01




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