Individual provider · Type 1 NPI

Jeremy Lynn Herzberg, PA-C

Medical Physician Assistant · Detroit, MI

NPI number 1952883068 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 365-3399 Map

Mailing address

1431 Washington Blvd Apt 2706
Detroit, MI 48226-1730

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1952883068

Jeremy Lynn Herzberg, PA-C's National Provider Identifier is 1952883068, issued on Sep 5, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 5, 2018.