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Individual

MOLLY HERENDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
42 N W SILVER LAKE RD, TRAVERSE CITY, MI 49685-8536
(231) 943-5690
Mailing address
4020 COPPER VW STE 122, TRAVERSE CITY, MI 49684-7041
(309) 781-0998

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704409349
MI

Other

Enumeration date
09/08/2025
Last updated
04/15/2026
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