Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 10936 | NV |
NPI | 1588664437 |
---|---|
Provider Name | Michael Gerard Scheidler |
First Address | Las Vegas, NV 89109-2307 |
Second Address | Las Vegas, NV 89109-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 16/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503619 | (05) | NV |