Individual
MS. CHERYL ANN VADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
(989) 340-1214
Mailing address
PO BOX 6514, TRAVERSE CITY, MI 49696-6514
(989) 340-1211
(989) 340-1214
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2686-033
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704143343
MI
Other
Enumeration date
06/01/2006
Last updated
12/27/2013
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