Individual
MARK HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 280-3018
Mailing address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273394
MI
363L00000X
Nurse Practitioner
Primary
11719
WI
Other
Enumeration date
09/25/2019
Last updated
04/21/2022
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