Individual
DR. GARY ALLEN SCHLUCKEBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 N PINE RIVER ST, ITHACA, MI 48847-1119
(989) 875-4721
(989) 875-6018
Mailing address
921 N PINE RIVER ST, ITHACA, MI 48847-1119
(989) 875-4721
(989) 875-6018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016837
MI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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