LYLE J VANDERSCHAAF

MARQUETTE, MI
NPI1063497386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: MI  4301070441)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  4301070441)
Enumeration Date2005-12-09
Last Update Date2013-07-10
Business Address
-- LYLE J VANDERSCHAAF MD
420 W MAGNETIC ST SUITE ER
MARQUETTE, MI 49855-2711
Phone number: 888-674-0854
Mailing Address
-- LYLE J VANDERSCHAAF MD
4602 DEPT
CAROL STREAM, IL 60122-0021
Phone number: 906-225-4821