Provider Demographics
NPI:1972121739
Name:SCHAEFER & FERRARO PLLC
Entity Type:Organization
Organization Name:SCHAEFER & FERRARO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-896-0039
Mailing Address - Street 1:4265 OKEMOS RD STE E
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3285
Mailing Address - Country:US
Mailing Address - Phone:517-349-6111
Mailing Address - Fax:517-349-2843
Practice Address - Street 1:4265 OKEMOS RD STE E
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3285
Practice Address - Country:US
Practice Address - Phone:517-349-6111
Practice Address - Fax:517-349-2843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental