Healthcare Provider Details

I. General information

NPI: 1356336291
Provider Name (Legal Business Name): HERMAN A HEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR UNIVERSITY OF IOWA HOSPITALS & CLINICS
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR UNIVERSITY OF IOWA HOSPITALS & CLINICS
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-2637
  • Fax: 319-353-8861
Mailing address:
  • Phone: 319-356-2687
  • Fax: 319-353-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number16879
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: