Organization
CHRISTOPHER F HERZOG, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELL SWANSON (OFFICE ADMINISTRATOR)
(810) 603-2020
Entity
Organization
Contact information
Practice address
9463 HOLLY RD, STE 101, GRAND BLANC, MI 48439-2557
(810) 603-2020
(810) 603-2042
Mailing address
9463 HOLLY RD, STE 101, GRAND BLANC, MI 48439-2557
(810) 603-2020
(810) 603-2042
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101009262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2969290
—
MI
Enumeration date
04/09/2008
Last updated
01/02/2009
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