Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 075536 | GA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 075536 | GA |
NPI | 1013236348 |
---|---|
Provider Name | Ryan Edward Schnetzer |
First Address | Macon, GA 31210-2404 |
Second Address | Macon, GA 31210-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 01/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202I208381 | (02) | GA |