Individual provider · Type 1 NPI
Glenn Eric Herrmann, MD
Plastic and Reconstructive Surgery Physician · Lafayette, CO
NPI number
1629085196
Active
Practice location
130 Old Laramie Trl E Bldg 4
Lafayette, CO 80026-7014
Fax (303) 666-5362
Mailing address
PO Box 767
Lafayette, CO 80026-0767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 44716 (CO) |
| Plastic Surgery Physician | 208200000X | 44716 (CO) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 44716 (CO) |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 44716 (CO) |
| Surgery Physician | 208600000X | 44716 (CO) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 44716 (CO) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1629085196
Glenn Eric Herrmann, MD's National Provider Identifier is 1629085196, issued on Aug 1, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lafayette, CO. The record was last updated on Mar 29, 2016.