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Individual

JEFFREY D SCHRAUBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
28501 ORCHARD LAKE RD, STE 120, FARMINGTON HILLS, MI 48334-2951
(248) 553-9800
Mailing address
28501 ORCHARD LAKE RD, STE 120, FARMINGTON HILLS, MI 48334-2951
(248) 553-9800

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004396
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901004396
STATE LICENSE
MI
Enumeration date
08/31/2006
Last updated
07/08/2007
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