Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2901021422 | MI |
Y | 213EG0000X | General Practice | 2901021422 | MI |
N | 1223P0700X | Prosthodontist | DN22643 | FL |
NPI | 1063702207 |
---|---|
Provider Name | Dr. Steven Robert Schmid |
First Address | Merritt Island, FL 32953-4236 |
Second Address | Ypsilanti, MI 48197-4853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 08/05/2018 |