Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 4301053973 | MI |
NPI | 1124099825 |
---|---|
Provider Name | Dr. Roxie Ann Schell |
First Address | Davison, MI 48423-7819 |
Second Address | Davison, MI 48423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 10/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D49793 | (02) |