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Individual
DR. RONALD D HERTZ
Active
Individual
DR. RONALD D HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010791
MI
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
5101010791
MI
208000000X
Pediatrics Physician
5101010791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4435427
—
MI
Enumeration date
08/26/2005
Last updated
04/16/2021
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