Provider Demographics
NPI:1043636707
Name:CRAMER, TERESA JEAN (CPM)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JEAN
Last Name:CRAMER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 SPENCER ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-5207
Mailing Address - Country:US
Mailing Address - Phone:616-334-2326
Mailing Address - Fax:
Practice Address - Street 1:641 SPENCER ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-5207
Practice Address - Country:US
Practice Address - Phone:616-334-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife