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Individual

MARTIN E HURWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4600 S HAGADORN RD, #405, EAST LANSING, MI 48823-5306
(517) 884-8600
(517) 884-8650
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-8600
(517) 884-8650

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4301035591
MI
208000000X
Pediatrics Physician
4301035591
MI
2080P0201X
Pediatric Allergy/Immunology Physician
4301035591
MI
2080P0214X
Pediatric Pulmonology Physician
Primary
4301035591
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417939778
MI
Enumeration date
11/14/2005
Last updated
07/23/2019
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