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Autumn Herzog
NPI 1700634284 · on the registry since 2024
Practice
- Address
- 16925 Ability Way
Grand Haven, MI 49417 - Phone
- (616) 935-7606
- Organisation at this address
- The Shoreline Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 72
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Sex
- Female
- Record last updated
- 2024-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan