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Individual

MARC BARRY HERSHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301080889
MI
2080P0203X
Pediatric Critical Care Medicine Physician
4301080889
MI
2080P0214X
Pediatric Pulmonology Physician
Primary
4301080889
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4472743
MI
Enumeration date
07/31/2006
Last updated
05/10/2019
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