Provider Demographics
NPI:1356540884
Name:HERMSEN, JEAN DORTHY (DO)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:DORTHY
Last Name:HERMSEN
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1215 DUFF AVENUE
Mailing Address - Street 2:MCFARLAND CLINIC PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4480
Mailing Address - Fax:515-239-4716
Practice Address - Street 1:1215 DUFF AVENUE
Practice Address - Street 2:MCFARLAND CLINIC PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4480
Practice Address - Fax:515-239-4716
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2020-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA4309207YX0905X
MI5101017240207YX0905X
IA04309207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery