Individual
TREVOR DOUGLAS SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 615-7246
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301092166
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301092166
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/23/2008
Last updated
05/13/2025
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