Provider Demographics
NPI:1265689392
Name:FERBER, HEATHER LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYNN
Last Name:FERBER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:223 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-1220
Mailing Address - Country:US
Mailing Address - Phone:231-348-2828
Mailing Address - Fax:231-348-9609
Practice Address - Street 1:116 W. MITCHELL ST.
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8369
Practice Address - Country:US
Practice Address - Phone:231-348-2828
Practice Address - Fax:231-348-9609
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601005342363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant