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1366618571
MARK SCHMIDTKE
GRAND RAPIDS, MI
NPI
1366618571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201003841)
Enumeration Date
2008-05-07
Last Update Date
2013-09-12
Business Address
-- MARK SCHMIDTKE OTR
1111 LEFFINGWELL AVE NE SUITE 200
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
-- MARK SCHMIDTKE OTR
PO BOX 30516 DEPT 6063
LANSING, MI 48909-8016
Phone number: 616-459-7101
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