IndividualActive
Marlon Hermitanio, MD
NPI 1740397355 · Rheumatology Physician · Green Bay, WI
Provider details
- NPI number
- 1740397355
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36685 (WI)
Mailing address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.