Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurel Catherine Schuckenbrock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104549773

Laurel Catherine Schuckenbrock is a Student in an Organized Health Care Education/Training Program in Southfield, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17320 W 12 Mile Rd
Southfield, MI 48076-2100
Phone: (248) 727-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104549773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESNovember 6, 2022
Certification dateNovember 6, 2022
Mailing address17320 W 12 Mile Rd, Southfield, MI 48076-2100

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