EMILY L FADER

CRYSTAL LAKE CLINIC PC

Dr EMILY L FADER is a female medical professional, specializing in Physician Assistant. She graduated in 2013.

Contact

CRYSTAL LAKE CLINIC PC

6227 FRANKFORT HWY
BENZONIA
MI
496168632

Tel: 2318829661

EMILY L FADER Information

Npi 1073947008
Pac Id 1456570092
Professional Enrollment Id I20140915001158
Last Name FADER
First Name EMILY
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CRYSTAL LAKE CLINIC PC
Group Practice Pac Id 0648259010
Number Of Group Practice Members 39
Line 1 Street Address 6227 FRANKFORT HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BENZONIA
State MI
Zip Code 496168632
Phone Number 2318829661
Hospital Affiliation Ccn 1 230081
Hospital Affiliation Lbn 1 MUNSON HEALTHCARE CADILLAC HOSPITAL
Hospital Affiliation Ccn 2 230097
Hospital Affiliation Lbn 2 MUNSON MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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