DENNIS A HERZOG M.D. NPI 1700836855

NPI Information

  • NPI: 1700836855
  • Provider Name: DENNIS A HERZOG, M.D.
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • Address: 1414 W FAIR AVE
    SUITE 240
    MARQUETTE, MI
    ZIP 49855
  • Phone: (906) 225-3970

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NPI Details

Dennis A Herzog, M.D. is a dermatology in Marquette, MI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Dennis A Herzog, M.D. NPI is 1700836855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 W FAIR AVE
SUITE 240
MARQUETTE, MI
ZIP 49855-675
Phone: (906) 225-3970

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology4301035261MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B44245MEDICARE UPINMICHIGAN
20520012MEDICARE PINMICHIGAN
3P52870001MEDICARE PINMICHIGAN
40705200122OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
5101658376MEDICAIDMICHIGAN
6070000017MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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