Individual
DR. NANCY L HERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Mailing address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301068990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330372
—
MI
01
—
0M21440038
MEDICARE PLUS BLUE
MI
01
—
1021345
MCLAREN HEALTH PLAN-COMMERCIAL
MI
05
—
1578519823
—
MI
01
—
1603303722
BCBS/BCN
MI
01
—
200000002109
PHP FAMILYCARE
MI
01
—
5305216
AETNA
MI
Enumeration date
05/26/2006
Last updated
11/20/2018
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