Organization
JON C. HERBENER, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON C HERBENER M.D. (DOCTOR/OWNER)
(517) 437-5385
Entity
Organization
Contact information
Practice address
187 S HOWELL ST, HILLSDALE, MI 49242-2069
(517) 437-5385
(571) 439-0945
Mailing address
187 S HOWELL ST, HILLSDALE, MI 49242-2069
(517) 437-5385
(571) 439-0945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101018596
MI
174400000X
Specialist
Primary
JH033911
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089530-TYPE 10
—
MI
Enumeration date
01/14/2011
Last updated
01/14/2011
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