Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57.008831 | OH |
N | 111NI0900X | Internist | 57.008831 | OH |
N | 207RR0500X | Rheumatology | 251630-1 | NY |
Y | 207RR0500X | Rheumatology | 57.008831 | OH |
NPI | 1093973471 |
---|---|
Provider Name | Dr. Mark Everett Schulte |
First Address | West Seneca, NY 14224-3444 |
Second Address | West Seneca, NY 14224-3444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 12/12/2011 |