Individual
SAMUEL JACOB HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1545
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.149994
OH
207P00000X
Emergency Medicine Physician
Primary
4301516163
MI
Other
Enumeration date
03/28/2021
Last updated
06/08/2026
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