Individual provider · Type 1 NPI

Stefan George Herrstrom

Independent Duty Corpsman · Apo, AA

NPI number 1184388258 Active

Practice location

Branch Health Clinic Everett, 2000 W. Marine View Drive Building 2010
Apo, AA 98207

Mailing address

349 E 9th Ave
Collegeville, PA 19426-2321

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X1184388258 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1184388258

Stefan George Herrstrom's National Provider Identifier is 1184388258, issued on Oct 26, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Apo, AA. The record was last updated on Nov 2, 2026.