Individual
ADRIENNE LAVERDURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N5241 US HWY 45, WATERSMEET, MI 49969-0009
(906) 358-4588
(906) 358-4118
Mailing address
PO BOX 9, WATERSMEET, MI 49969-0009
(906) 358-4588
(906) 358-4118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39670
WI
207Q00000X
Family Medicine Physician
Primary
4301512922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32411800
—
WI
Enumeration date
06/08/2006
Last updated
02/24/2026
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