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Individual

MR. DOUGLAS GERARD SCHAEFER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
L.P.T.A.

Contact information

Practice address
13685 FOREST HILL RD, GRAND LEDGE, MI 48837-9253
(517) 626-7112
Mailing address
13685 FOREST HILL RD, GRAND LEDGE, MI 48837-9253
(517) 626-7112

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001753A
IN

Other

Enumeration date
03/07/2006
Last updated
07/08/2007
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