Provider Demographics
NPI:1831559343
Name:SCHRAM, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 DONNELY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-8871
Mailing Address - Country:US
Mailing Address - Phone:734-891-7939
Mailing Address - Fax:
Practice Address - Street 1:4141 DONNELY RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-8871
Practice Address - Country:US
Practice Address - Phone:734-891-7939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other