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Organization

NORTHERN LIGHTS FAMILY MEDICINE P. C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL R. SCHAUB MD (PRESIDENT)
(231) 557-5367
Entity
Organization

Contact information

Practice address
9883 US 31, MONTAGUE, MI 49437-9501
(231) 893-6363
Mailing address
9883 US 31, MONTAGUE, MI 49437-9501
(231) 893-6363

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301049583
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649257445
NPI-INDIVIDUAL
MI
05
4287709
MI
Enumeration date
02/16/2009
Last updated
02/16/2009
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