Gary A. Schluckebier, Dds, Pllc

NPI 1053731695 - Dentist - 1223G0001X

NPI Details
NPI 1053731695
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GARY GARY
Position OWNER DENTIST
Phone (989) 875-4721
Fax (989) 875-6018
Practice Location
921 N PINE RIVER ST
ITHACA MI, 48847-1119, US
Phone (989) 875-4721
Fax (989) 875-6018
Business Location
921 N PINE RIVER ST
ITHACA MI, 48847-1119, US
Phone (989) 875-4721
Fax (989) 875-6018
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 016837
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According to our database, Gary A. Schluckebier, Dds, Pllc NPI is 1053731695, taxonomy code is 1223G0001X and license number is 016837, license state is located at Michigan. Gary A. Schluckebier, Dds, Pllc physically located at 921 N Pine River St, Ithaca MI, 48847-1119. NPI Number 1033115704 has the healthcare provider type.

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1053731695 NPI number is provided on an as is basis without warranty of any kind. 1053731695 is maintained by the National Plan & Provider Enumeration System. The contents of Gary A. Schluckebier, Dds, Pllc are for informational purposes only.