Individual
KATHY ANN BERCHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN FNP BC
Contact information
Practice address
560 W MITCHELL ST, SUITE 340, PETOSKEY, MI 49770-2275
(231) 348-9710
(231) 348-9715
Mailing address
560 W MITCHELL ST, SUITE 340, PETOSKEY, MI 49770-2275
(231) 348-9710
(231) 348-9715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704213509
MI
Other
Enumeration date
05/11/2008
Last updated
05/11/2008
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