Individual
JUDY E HERBOLSHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 M 55 E, TAWAS CITY, MI 48763-9362
(989) 362-8691
(989) 362-7290
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-2540
(989) 362-9925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5601004037
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043530
—
MI
Enumeration date
10/06/2005
Last updated
04/06/2021
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