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Individual

DR. RANDALL C SCHICK I

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
BLDG N-46 CAPE SARICHEF, KODIAK, AK 99619-5002
(907) 487-5757
(907) 487-5360
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET SW, WASHINGTON, DC 20593-0001
(907) 487-5757
(907) 487-5360

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2896
AK
207Q00000X
Family Medicine Physician
31383-021
WI

Other

Enumeration date
02/13/2006
Last updated
07/08/2007
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