Individual
STASON SCHAFER VANDEGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1545 68TH ST SE STE 100, GRAND RAPIDS, MI 49508-7896
(616) 267-7881
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301504722
MI
Other
Enumeration date
03/30/2018
Last updated
09/08/2023
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