Provider Demographics
NPI:1992209365
Name:HERRMANN, MEGHAN (DC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14020 HWY 13 S STE 650
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-7106
Mailing Address - Country:US
Mailing Address - Phone:701-848-6222
Mailing Address - Fax:
Practice Address - Street 1:14020 HWY 13 S STE 650
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-7106
Practice Address - Country:US
Practice Address - Phone:701-848-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor