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Individual

TRUDY F SCHOEPPEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
1711 S STEPHENSON AVE, SUITE 125, IRON MOUNTAIN, MI 49801-3639
(906) 774-1633
(906) 774-4451
Mailing address
1711 S STEPHENSON AVE, SUITE 125, IRON MOUNTAIN, MI 49801-3639
(906) 774-1633
(906) 774-4451

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002442
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01007242
PREFERRED ONE ID
05
30333700
WI
Enumeration date
06/28/2006
Last updated
10/29/2007
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