Hertzberg, Mark G

Hertzberg, Mark G is an individual health care provider with primary practice located at 44150 12 Mile Road Suite 100, Novi MI 48377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hertzberg, Mark G can be contacted via phone (248) 347-5800.

Contact Information

Primary practice address
44150 12 Mile Road Suite 100 Novi MI 48377
Phone: (248) 347-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301036759 Michigan

Profile Details

NPI number 1497739080
LBN Legal business name Hertzberg, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Sep 19th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497739080 NPPES
Michigan Other 06314532 BCBS INDIVIDUAL
Michigan Other 1106314532 BCBS INDIVIDUAL

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