Provider Demographics
NPI:1932860806
Name:HERNADI, MARTA
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:HERNADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 GOLFSIDE DR STE 8
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1410
Mailing Address - Country:US
Mailing Address - Phone:734-356-3303
Mailing Address - Fax:734-356-3233
Practice Address - Street 1:2900 GOLFSIDE DR STE 8
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1410
Practice Address - Country:US
Practice Address - Phone:734-356-3303
Practice Address - Fax:734-356-3233
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical