Individual
GARY J SCHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6100 US 31 NORTH, WILLIAMSBURG, MI 49690
(231) 938-5983
Mailing address
PO BOX 515, ACME, MI 49610-0515
(231) 938-5983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043802
—
MI
Enumeration date
02/13/2006
Last updated
07/08/2007
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