Tyler John Schaefer PA-C

NPI 1033494299 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033494299
Gender Male
Enumeration Date 10/19/2011
Last Updated 08/02/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
100 MICHIGAN ST NE
MC31
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-6488
Fax (616) 391-6428
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 486-6790
Fax (616) 486-6702
Toxanomy
Taxonomy Code 363AM0700X
License State Colorado
License Number PA3326
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According to our database, Mr. Tyler John Schaefer PA-C NPI is 1033494299, taxonomy code is 363AM0700X and license number is PA3326, license state is located at Colorado. Tyler John Schaefer PA-C physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Tyler John Schaefer PA-C has the Individual type.

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1033494299 NPI number is provided on an as is basis without warranty of any kind. 1033494299 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler John Schaefer PA-C are for informational purposes only.