Individual
JEREMY LYNN HERZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 365-3399
Mailing address
1431 WASHINGTON BLVD APT 2706, DETROIT, MI 48226-1730
(517) 320-3938
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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