| Doctor Name: | RONALD D HERTZ |
| NPI Number: | 1053304816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101010791 |
| Business Practice Address: | 19251 Mack Ave Grosse Pointe Woods, MI - 482362893 |
| Business Phone Number: | 3133433749 |
| Business Fax Number: | 3133437921 |
| Mailing Address: | 22201 Moross, 270 DETROIT |
| State: | MI |
| Postal Code: | 482361136 |
| Phone Number: | 3133437280 |
| Fax Number: | 3133437921 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 02/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | 5101010791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |