Individual
DEAN A SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8333 CRESTVIEW DR, GREENVILLE, MI 48838-8133
(616) 225-0221
Mailing address
8333 CRESTVIEW DR, GREENVILLE, MI 48838-8133
(616) 225-0221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5341015
BCBS
MI
01
—
P00644989
RAILROAD MEDICARE
MI
Enumeration date
05/18/2006
Last updated
06/09/2015
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