Individual provider · Type 1 NPI
Alexandra Herzog, DDS, PhD
Student in an Organized Health Care Education/Training Program · Ann Arbor, MI
NPI number
1548080625
Active
Practice location
1011 N University Ave
Ann Arbor, MI 48109-1078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901602168 (MI) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1548080625
Alexandra Herzog, DDS, PhD's National Provider Identifier is 1548080625, issued on Oct 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 14, 2024.