Herzberg, Mark Carl

Herzberg, Mark Carl is an sole proprietor health care provider with primary practice located at Va Medical Center One Veterans Drive, Minneapolis MN 55417. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Herzberg, Mark Carl can be contacted via phone (612) 467-4716.

Contact Information

Primary practice address
Va Medical Center One Veterans Drive Minneapolis MN 55417
Fax: (612) 626-2651
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 8687 Minnesota

Profile Details

NPI number 1073731998
LBN Legal business name Herzberg, Mark Carl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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