Individual
JENNIFER LEE SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 JOHN ST, SUITE M-230, KALAMAZOO, MI 49007-5341
(269) 349-8601
(269) 349-6446
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8419
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205170230
—
MI
01
—
1417961137
BCBSM - BMH
MI
Enumeration date
11/15/2012
Last updated
03/01/2013
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