Organization
NEIL F HERTZBERG DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL FARREL HERTZBERG DPM (OWNER/PODIATRIST)
(248) 569-9920
Entity
Organization
Contact information
Practice address
5028 VILLAGE SQUARE CIRCLE, WEST BLOOMFIELD, MI 48322
(248) 569-9920
(248) 788-0455
Mailing address
6689 ORCHARD LAKE RD STE 275, WEST BLOOMFIELD, MI 48322-3404
(248) 569-9920
(248) 569-9921
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NH000838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4886350160
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/13/2007
Last updated
05/25/2021
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