Individual
KATHLEEN M SCHANBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704136404
MI
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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