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Individual

DR. LON ERIC KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 HAGGERTY RD, STE 2070, WEST BLOOMFIELD, MI 48323-2184
(248) 926-2020
(248) 926-9020
Mailing address
2300 HAGGERTY RD, STE 2070, WEST BLOOMFIELD, MI 48323-2184
(248) 926-2020
(248) 926-9020

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LK052894
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F32178
BLUE CROSS GROUP PIN
MI
01
1992792212
NPI
MI
05
4467396
MI
Enumeration date
10/03/2005
Last updated
04/25/2013
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