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Individual

DR. JILL ANNE SCHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
320 WEST COMMERCE RD, MILFORD, MI 48381-1892
(248) 684-7337
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004628
MI
152W00000X
Optometrist
5380
OH
152W00000X
Optometrist
TUV007246-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000372261
ANTHEM BLUE CROSS BLUE SH
OH
Enumeration date
10/13/2005
Last updated
06/06/2016
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