Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 20460 | CA |
NPI | 1831240787 |
---|---|
Provider Name | Dr. James Michael Schemke |
First Address | Fairfield, CA 94533-3588 |
Second Address | Fairfield, CA 94533-3588 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |