NPI 1033963129

Alex Herrmann

Practitioner Peer Specialist Manitowoc, WI

Practice location

Address: 707 Quay St, Manitowoc, WI 54220-4539
Phone: (920) 242-3488
Mailing address: 12607 Rusch Rd, Valders, WI 54245-9612

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1033963129
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2024
Record last updated: 15 Apr 2024

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.