Individual
DR. MARSHALL ISRAEL HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 276, MINNEAPOLIS, MN 55455
(612) 624-0999
(612) 625-2174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27144
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27144
MN
207RP1001X
Pulmonary Disease Physician
Primary
27144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968735
—
IA
01
—
100809
UCARE
MN
01
—
1009137
PREFERRED ONE
MN
01
—
2T144HE
BCBS
MN
01
—
48-00006
MEDICA PRIMARY
MN
01
—
48-24594
MEDICA CHOICE
MN
05
—
677765100
—
MN
01
—
765583
ARAZ
MN
01
—
HP22054
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
07/21/2022
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