DR. GLENN ERIC HERRMANN M.D.

Surgery Yellow Pages

Lafayette, Colorado

Provider NPI: 1629085196

Provider Information:
DR. GLENN ERIC HERRMANN M.D.


Practice Location:
130 OLD LARAMIE TRL E BLDG 4  LAFAYETTE, CO 80026 US
Tel: 303-664-9400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	204E00000X	Physicians Oral & Maxillofacial Surgery	CO	44716
N	208200000X	Physicians Plastic Surgery	CO	44716
N	2082S0099X	Physicians Plastic Surgery	CO	44716
N	2082S0105X	Physicians Plastic Surgery	CO	44716
N	208600000X	Physicians Surgery	CO	44716
Y	2086S0122X	Physicians Surgery	CO	44716

Other Provider Identifiers:

Issuer	Number	State	Type
	15035859	CO	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin