Organization
ANN E. HERN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN E HERN M.D. (OWNER/PRESIDENT)
(248) 362-3500
Entity
Organization
Contact information
Practice address
2221 LIVERNOIS RD, SUITE 101, TROY, MI 48083-1603
(248) 362-3500
(248) 362-1941
Mailing address
2221 LIVERNOIS RD, SUITE 101, TROY, MI 48083-1603
(248) 362-3500
(248) 362-1941
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
430152754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070F319160
BLUE CROSS BLUE SHIELD
MI
01
—
1316910649
INDIVIDUAL NPI
MI
Enumeration date
01/29/2008
Last updated
05/27/2009
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