| Mark Hertzberg Md Pc | |
|
44150 Twelve Mile Road Ste 100 Novi MI 48377 | |
| (248) 357-3225 | |
| Not Available |
| Full Name | Mark Hertzberg Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44150 Twelve Mile Road, Novi, Michigan |
| Authorized Official Name and Position | Mark G Hertzberg (OWNER) |
| Authorized Official Contact | 2483475800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hertzberg Md Pc 44150 12 Mile Ste 100 Novi MI 48377 Ph: (248) 357-3225 | Mark Hertzberg Md Pc 44150 Twelve Mile Road Ste 100 Novi MI 48377 Ph: (248) 357-3225 |
| NPI Number | 1801042114 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 09/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801042114 | NPI | - | NPPES |
| 1106314532 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301036759 (Michigan) | Primary |
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