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Lyle J Vanderschaaf, MD
General Practice Physician in Marquette, Michigan
NPI 1063497386

Lyle J Vanderschaaf is a General Practice Physician based in Carol Stream, MI. Lyle J Vanderschaaf practices in Marquette, MI and has the professional credentials of MD. The NPI Number for Lyle J Vanderschaaf is 1063497386 and holds a License No. 4301070441 (Michigan).

The current practice location address for Lyle J Vanderschaaf is 420 W Magnetic St, Marquette, MI and can be reached out via phone at 888-674-0854 and via fax at 906-225-3370.

Location: 420 W Magnetic St, Marquette, MI, 60122-0021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063497386
Provider Name
Lyle J Vanderschaaf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 W Magnetic St, Marquette, MI, 60122-0021
Phone Number
888-674-0854
Fax Number
906-225-3370
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301070441 01 MI MICHIGAN LICENSE #
institution
Provider Business Practice Location Address Details
Address
420 W Magnetic St
City
Marquette
State
Michigan
Zip
49855-2711
Phone Number
888-674-0854
Fax Number
906-225-3370
person
Provider Business Mailing Address Details
Address
420 W Magnetic St
City
Marquette
State
Michigan
Zip
49855-2711
Phone Number
888-674-0854
Fax Number
906-225-3370
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301070441 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301070441 (Michigan)
Definition
Definition to come...
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