Individual
DANIEL C SCHACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7242
(989) 356-7320
Mailing address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7242
(989) 356-7320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301007236
MI LICENSE
MI
Enumeration date
03/26/2013
Last updated
03/26/2013
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