Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 33039 | AL |
N | 208600000X | Surgeon | 33039 | AL |
N | 2086S0102X | Surgical Critical Care | 34358 | OK |
Y | 2086S0127X | Trauma Surgeon | 34358 | OK |
NPI | 1356608418 |
---|---|
Provider Name | Eric Alan Schinnerer |
First Address | Tulsa, OK 74104-5635 |
Second Address | Tulsa, OK 74104-5635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 14/09/2021 |