Lyle J Vanderschaaf MD

NPI 1063497386 - Family Medicine - 207Q00000X

NPI Details
NPI 1063497386
Gender Male
Enumeration Date 12/09/2005
Last Updated 07/10/2013
Entity Type Individual
Active Over 12 years ago
Practice Location
MARQUETTE MI, 49855-2711, US
Phone (888) 674-0854
Fax (906) 225-3370
Business Location
4602 DEPT
CAROL STREAM IL, 60122-0021, US
Phone (906) 225-4821
Fax (906) 225-4537
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301070441
Remove 1063497386 NPI Number

According to our database, Lyle J Vanderschaaf MD NPI is 1063497386, taxonomy code is 207Q00000X and license number is 4301070441, license state is located at Michigan. Lyle J Vanderschaaf MD physically located at 420 W Magnetic St, Marquette MI, 49855-2711. NPI Number Lyle J Vanderschaaf MD has the Individual type.

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1063497386 NPI number is provided on an as is basis without warranty of any kind. 1063497386 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle J Vanderschaaf MD are for informational purposes only.