Hertz, Ronald D
Hertz, Ronald D is an individual health care provider with primary practice located at 19251 Mack Ave , Grosse Pointe Woods MI 48236-2893. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hertz, Ronald D can be contacted via phone (313) 343-3749.Contact Information
Primary practice address
19251 Mack Ave
Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-3749
Fax: (313) 343-7921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 5101010791 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101010791 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101010791 | Michigan |
Profile Details
| NPI number | 1053304816 |
|---|---|
| LBN Legal business name | Hertz, Ronald D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Apr 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053304816 | NPPES |
| Michigan | MEDICAID | 4435427 |
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