Tate Herman OD

NPI 1982895439 - Optometrist - 152W00000X

NPI Details
NPI 1982895439
Gender Male
Enumeration Date 08/08/2007
Last Updated 06/26/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
16875 COUNTY ROAD 24
STE.301
PLYMOUTH MN, 55447-1290, US
Phone (763) 559-4669
Fax (763) 559-4767
Business Location
16875 COUNTY ROAD 24
STE.301
PLYMOUTH MN, 55447-1290, US
Phone (763) 559-4669
Fax (763) 559-4767
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 3088
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According to our database, Tate Herman OD NPI is 1982895439, taxonomy code is 152W00000X and license number is 3088, license state is located at Minnesota. Tate Herman OD physically located at 16875 County Road 24, Plymouth MN, 55447-1290. NPI Number Tate Herman OD has the Individual type.

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1982895439 NPI number is provided on an as is basis without warranty of any kind. 1982895439 is maintained by the National Plan & Provider Enumeration System. The contents of Tate Herman OD are for informational purposes only.