Individual
CHRISTOPHER F HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9463 HOLLY RD, SUITE 101, GRAND BLANC, MI 48439-2557
(810) 603-2020
(810) 603-2042
Mailing address
9463 HOLLY RD, SUITE 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
07/07/2006
Last updated
01/02/2009
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