Individual
MS. DAWN RENEE SCHRECKENGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 PIPESTONE AVE., #102-B, BENTON HARBOR, MI 49022-2304
(269) 925-8386
(269) 925-4085
Mailing address
2699 60TH ST, FENNVILLE, MI 49408-9414
(269) 561-6023
(269) 925-4085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06121A
—
MI
05
—
102534
—
MI
05
—
2820
—
MI
Enumeration date
04/17/2007
Last updated
07/09/2007
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