Provider Demographics
NPI:1528362605
Name:TYRRELL-SCHROEDER, LAURIE ALICE (DVM)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ALICE
Last Name:TYRRELL-SCHROEDER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3705
Mailing Address - Country:US
Mailing Address - Phone:313-407-3099
Mailing Address - Fax:
Practice Address - Street 1:45 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3705
Practice Address - Country:US
Practice Address - Phone:313-407-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901009231174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian