Individual
ALEX M HERZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST, #140, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1697
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66572-20
WI
207X00000X
Orthopaedic Surgery Physician
MD21166
OR
207X00000X
Orthopaedic Surgery Physician
MD60431541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001920
—
OR
05
—
276799
—
OR
Enumeration date
08/02/2006
Last updated
04/03/2020
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