Healthcare Provider Details

I. General information

NPI: 1285052431
Provider Name (Legal Business Name): JULIA HERMANOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

163 VETERANS DR
WHITE RIVER JUNCTION VT
05001-7005
US

V. Phone/Fax

Practice location:
  • Phone: 734-739-7000
  • Fax:
Mailing address:
  • Phone: 802-295-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4301114179
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56692
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: