Individual
ANDREA SCHRECONGOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48911
(517) 913-3888
(517) 394-7483
Mailing address
3760 STATE RD, FORT GRATIOT, MI 48059-4063
(810) 841-8909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008810
MI
Other
Enumeration date
08/16/2018
Last updated
07/31/2019
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