| Dennis A Herzog, MD | |
|
1414 W Fair Ave, Suite 240, Marquette, MI 49855-2675 | |
| (906) 225-3970 | |
| Not Available |
| Full Name | Dennis A Herzog |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700836855 | NPI | - | NPPES |
| 0705200122 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 101658376 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301035261 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis A Herzog, MD 1414 W Fair Ave, Suite 240, Marquette, MI 49855-2675 Ph: (906) 225-3970 | Dennis A Herzog, MD 1414 W Fair Ave, Suite 240, Marquette, MI 49855-2675 Ph: (906) 225-3970 |
Dr. John Wuennenberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1007 Harbor Hills Dr Ste C, Marquette, MI 49855 Phone: 906-225-5458 Fax: 906-225-1179 | |
Dr. Milton D Soderberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 240, Marquette, MI 49855 Phone: 906-225-3939 Fax: 906-225-7488 |