Dr ROBERTA L HERBST PA is a female medical professional, specializing in Physician Assistant. She graduated in 1997.
CRYSTAL LAKE CLINIC PC
8225 LAKE ST
BEAR LAKE
MI
496149612
Tel: 2318643314
| Npi | 1437259926 |
| Pac Id | 1052382439 |
| Professional Enrollment Id | I20040802000593 |
| Last Name | HERBST |
| First Name | ROBERTA |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| 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 | 8225 LAKE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BEAR LAKE |
| State | MI |
| Zip Code | 496149612 |
| Phone Number | 2318643314 |
| Hospital Affiliation Ccn 1 | 230303 |
| Hospital Affiliation Lbn 1 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Hospital Affiliation Ccn 2 | 230097 |
| Hospital Affiliation Lbn 2 | MUNSON MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 231300 |
| Hospital Affiliation Lbn 3 | PAUL OLIVER MEMORIAL HOSPITAL |
| 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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