Individual
MARIE ANN SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2939
CO
152W00000X
Optometrist
6070
OH
Other
Enumeration date
09/21/2011
Last updated
12/04/2013
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