Individual
DR. PAUL HERBERT IZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE R5001, YPSILANTI, MI 48197-1014
(734) 712-2323
(734) 712-2312
Mailing address
5333 MCAULEY DRIVE, SUITE R5001, YPSILANTI, MI 48197
(734) 712-2323
(734) 712-2312
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301037154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102225
CARE CHOICES HMO
MI
01
—
6976
CAPE
MI
01
—
B43925
HEALTH ALLIANCE PLAN
MI
01
—
P41548
BLUE CARE NETWORK
MI
Enumeration date
07/24/2006
Last updated
07/08/2007
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