Paul Herbert Izenberg in Ypsilanti - Plastic Surgery

Paul Herbert Izenberg - NPI 1992727408

Paul Herbert Izenberg is a Plastic Surgery in Ypsilanti, Michigan. Paul Herbert Izenberg practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Paul Herbert Izenberg is 1992727408. The last update date is 2007-07-08.

Paul Herbert Izenberg's current location address is 5333 Mcauley Drive, Ypsilanti, Michigan. You can contact this provider via phone number 7347122323 and fax number 7347122312. The mailing address for Paul Herbert Izenberg is 5333 Mcauley Drive, Ypsilanti, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Herbert Izenberg
Address 5333 Mcauley Drive, Ypsilanti, Michigan
Phone Number 7347122323
Fax Number 7347122312
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992727408
Provider Enumeration Date 2006-07-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5333 Mcauley Drive
City Ypsilanti
State Michigan (MI)
Post Code 48197
Phone Number 7347122323
Fax Number 7347122312

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 4301037154
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102225 MI CARE CHOICES HMO
P41548 MI BLUE CARE NETWORK
6976 MI CAPE
B43925 MI HEALTH ALLIANCE PLAN

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FAQs about Paul Herbert Izenberg

What is the unique identifier code issued to Paul Herbert Izenberg by the Centers for Medicare & Medicaid Services (CMS)?

The Paul Herbert Izenberg has been assigned the NPI (National Provider Identifier) 1992727408. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Paul Herbert Izenberg?

The Paul Herbert Izenberg is physically situated at 5333 Mcauley Drive, in the city of Ypsilanti, state of MI, with the postal code 48197.

What is the Paul Herbert Izenberg's specialty and taxonomy code?

The Paul Herbert Izenberg's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992727408 to Paul Herbert Izenberg?

The Centers for Medicare & Medicaid Services assigned the 1992727408 to Paul Herbert Izenberg on 2006-07-24.

When was the information regarding Paul Herbert Izenberg most recently updated?

The details pertaining to the Paul Herbert Izenberg, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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