Individual provider · Type 1 NPI
John Hermansen, MD
Student in an Organized Health Care Education/Training Program · Jenks, OK
NPI number
1073334843
Active
Practice location
204 S Riverfront Dr
Jenks, OK 74037-3901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1073334843
John Hermansen, MD's National Provider Identifier is 1073334843, issued on Oct 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jenks, OK. The record was last updated on Oct 23, 2024.