This application is for Naturopathic Doctors who graduated from an accredited naturopathic medical program (recognized by the CNME) who hold license to practice naturopathic medicine in a state where a license is available AND who are living and/or practicing in the state of Michigan.

Please print your name (including designations) as you would like it to appear on the MANP website.


Personal Information

  • (Personal Information is kept private and will not be posted online.)
 

Business Information*

  • (Business information will be posted online in the member directory.)
  • Office Location 1

  • Office Location 2

  • * Business Information not required for students or associate members.
 

Membership Qualifications



  • Postgraduate Training in Naturopathic Medicine (Residences, Internships)

  • Other Board Certifications/Past Licensure

 

Professional References*

    References One

  • References Two

  • * References not required for renewals.
 

MANP Involvement

 

Signature

 

Verification