Individual
THOMAS L HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2241
(701) 234-4877
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2241
(701) 234-4877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28274
MN
Other
Enumeration date
07/18/2006
Last updated
11/17/2011
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