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MAUDE SCHRODER GUERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1560 TURF LANE, EAST LANSING, MI 48823-6392
(517) 484-3000
(517) 484-6358
Mailing address
1560 TURF LANE, EAST LANSING, MI 48823-6392
(517) 484-3000
(517) 484-6358

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MG054810
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0330198
BCBS/BCN PROVIDER #
MI
01
0700022
PHP PROVIDER #
MI
01
0770035
PHP FAMILYCARE PROVIDER #
MI
01
1009412
MCLAREN PROVIDER #
MI
05
3421730
MI
Enumeration date
03/07/2006
Last updated
07/08/2007
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