Individual provider · Type 1 NPI

Jean M. Hergott, P.A.-C

Surgical Physician Assistant · Ann Arbor, MI

NPI number 1255391637 Active

Practice location

1500 East Medical Center Dr, 2nd Floor Taubman Center Recp C
Ann Arbor, MI 48109-5328

Mailing address

3621 S State St, 700 Kms Place
Ann Arbor, MI 48108

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601001261 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1255391637

Jean M. Hergott, P.A.-C's National Provider Identifier is 1255391637, issued on Mar 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 31, 2009.