Dennis A. Herzog, M.D.,P.C

LBN: Dennis A. Herzog, M.D.,P.C
Dennis A. Herzog, M.D.,P.C is an health care organization with primary practice located at 1414 W Fair Ave Ste 240 , Marquette MI 49855-5409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dennis A. Herzog, M.D.,P.C can be contacted via phone (906) 225-3970, or through Herzog, Dennis A. via phone (906) 225-3970.

Contact Information

Primary practice address
1414 W Fair Ave Ste 240 Marquette MI 49855-5409
Phone: (906) 225-3970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herzog, Dennis A. Doctor of Medicine (MD)
Phone: (906) 225-3970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301035261 Michigan

Profile Details

NPI number 1831231083
LBN Legal business name Dennis A. Herzog, M.D.,P.C
DBA Doing business as
Authorized official Herzog, Dennis A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated May 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831231083 NPPES
Michigan MEDICAID 101658376
Michigan Other 0705200122

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