NPI 1013154160

Joseph G Herrmann MD LLC

Organisation Specialist Saint Louis, MO

Practice location

Address: 621 S New Ballas Rd Suite 419a, Saint Louis, MO 63141-8232
Phone: (314) 432-0056
Fax: (314) 432-6853
Mailing address: 1922 Drexel Hill CT, Des Peres, MO 63131-3647

Authorised official

Name: Erin Michelle Licavoli
Title: Office Manager
Phone: (314) 432-0056

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 103604 (MO)

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Registry record

NPI: 1013154160
Entity type: Organization
NPI issued: 12 Jan 2009
Record last updated: 12 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.