Individual
TINA SCHRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13279 AUDREY LN, GRAND LEDGE, MI 48837-9334
(517) 622-0574
(517) 622-1685
Mailing address
13279 AUDREY LN, GRAND LEDGE, MI 48837-9334
(517) 622-0574
(517) 622-1685
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AS2320242617
MI
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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