Individual
DR. MARK CARL HERZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
VA MEDICAL CENTER, ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417
(612) 467-4716
(612) 626-2651
Mailing address
3927 YORK AVE S, MINNEAPOLIS, MN 55410-1164
(612) 929-7540
(612) 626-2651
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8687
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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