Individual
HEATHER KATHLEEN EDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
Mailing address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 845-4237
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704367878
MI
Other
Enumeration date
05/15/2023
Last updated
02/20/2025
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