Mark Carl Herzberg DDS

NPI 1073731998 - Dentist - 1223P0300X

NPI Details
NPI 1073731998
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
VA MEDICAL CENTER
ONE VETERANS DRIVE
MINNEAPOLIS MN, 55417, US
Phone (612) 467-4716
Fax (612) 626-2651
Business Location
3927 YORK AVE S
MINNEAPOLIS MN, 55410-1164, US
Phone (612) 929-7540
Fax (612) 626-2651
Toxanomy
Taxonomy Code 1223P0300X
License State Minnesota
License Number 8687
Remove 1073731998 NPI Number
 

According to our database, Dr. Mark Carl Herzberg DDS NPI is 1073731998, taxonomy code is 1223P0300X and license number is 8687, license state is located at Minnesota. Mark Carl Herzberg DDS physically located at Va Medical Center, Minneapolis MN, 55417. NPI Number Mark Carl Herzberg DDS has the Individual type.

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1073731998 NPI number is provided on an as is basis without warranty of any kind. 1073731998 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Carl Herzberg DDS are for informational purposes only.