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Individual

MARK SCHMIDTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
PO BOX 30516, DEPT 6063, LANSING, MI 48909-8016
(616) 459-7101

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003841
MI

Other

Enumeration date
05/07/2008
Last updated
09/12/2013
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