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Individual

MARK ALAN SCHUCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
4182 HAMEHAME ST, KAILUA, HI 96734-6824
(858) 717-6392
Mailing address
3001 ALFA 6TH STREET, MABLE HOSPITAL GREAT LAKES, GREAT LAKES, IL 60088-5230
(847) 688-5523

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
08/05/2007
Last updated
06/03/2010
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