Individual provider · Type 1 NPI

Laurel Catherine Schuckenbrock

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1104549773 Active

Practice location

17320 W 12 Mile Rd
Southfield, MI 48076-2100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104549773

Laurel Catherine Schuckenbrock's National Provider Identifier is 1104549773, issued on Sep 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Nov 6, 2022.