Individual
CHRISTOPHER F HERZOG
Active
Individual
CHRISTOPHER F HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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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