Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 4301055845 | MI |
Y | 208600000X | Surgeon | 4301055845 | MI |
NPI | 1013029917 |
---|---|
Provider Name | Dr. Paul David Schneider |
First Address | East Lansing, MI 48824-7015 |
Second Address | Lansing, MI 48912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 15/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4917079 | (05) | MI |
G57992 | (02) | MI |