ROSS HERDES

FAIRFIELD, IL
NPI1902387210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209018435)
Enumeration Date2018-08-24
Last Update Date2018-11-08
Business Address
ROSS HERDES MSN, NP-C
213 NW 10TH ST
FAIRFIELD, IL 62837-1219
Phone number: 618-842-2611
Mailing Address
ROSS HERDES MSN, NP-C
213 NW 10TH ST STE A
FAIRFIELD, IL 62837-1219
Phone number:
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