Most Relevant Information
Provider Data
| NPI Number: | 1003285859 |
| Provider Name: | JUSTINE SCHRADER |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704278975 |
Most Important Dates
| Enumeration Date: | 09/23/2015 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1979 HOLLAND AVE
PORT HURON
MI
480608639
Practice Location Phone/Fax
| Phone: | 8109821200 |
| Fax: |
Provider Mailing Location
7244 2ND ST
LAKEPORT
MI
480591903
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |