Individual provider · Type 1 NPI

Lyle J. Vanderschaaf, MD

General Practice Physician · Marquette, MI

NPI number 1063497386 Active

Practice location

420 W Magnetic St, Suite Er
Marquette, MI 49855-2711

Fax (906) 225-3370

Mailing address

4602 Dept
Carol Stream, IL 60122-0021

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4301070441 (MI)
General Practice Physician Primary 208D00000X4301070441 (MI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1063497386

Lyle J. Vanderschaaf, MD's National Provider Identifier is 1063497386, issued on Dec 9, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Marquette, MI. The record was last updated on Jul 10, 2013.