Individual
MICAH Z BELZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 THOMAS JOHNSON DR STE C, FREDERICK, MD 21702-4893
(240) 780-3473
(240) 880-3687
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0102968
MD
207ND0101X
MOHS-Micrographic Surgery Physician
D0102968
MD
Other
Enumeration date
03/26/2020
Last updated
09/23/2025
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