Provider Demographics
NPI:1609987569
Name:SCHAEFER, MARK ROBERT (MA)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:ROBERT
Last Name:SCHAEFER
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Gender:M
Credentials:MA
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Mailing Address - Street 1:VA PUGET SOUND HEALTH CARE SYSTEM
Mailing Address - Street 2:9600 VETERANS DRIVE
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1705
Mailing Address - Fax:253-589-4042
Practice Address - Street 1:VA PUGET SOUND HEALTH CARE SYSTEM
Practice Address - Street 2:9600 VETERANS DRIVE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1705
Practice Address - Fax:253-589-4042
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-03-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor