Individual
THOMAS RICHARD SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
700 N LEROY ST, FENTON, MI 48430-2738
(810) 853-5875
(586) 279-4515
Mailing address
700 N LEROY ST, FENTON, MI 48430-2738
(810) 853-5875
(586) 279-4515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704301351
MI
Other
Enumeration date
06/30/2017
Last updated
06/16/2018
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