Mara Groom Hermiston, D.O.

NPI #1437599297 in Spirit Lake, Iowa

Provider Information

NPI Number: 1437599297
Entity Type: Individual
Name: Mara Groom Hermiston, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 26, 2013
Last Updated: Dec 27, 2024

Practice Location

Address: 2301 HIGHWAY 71 STE C
City: Spirit Lake
State: Iowa
ZIP Code: 51360-1253
Phone: (712) 336-3750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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