Individual
STACEY SCHLUCKEBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 213-3931
Mailing address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 213-3931
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
06/12/2012
Last updated
03/15/2016
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