MEDICARE: CHRISTIAN R SCHUETZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME103118	FL
2	2086S0102X	Surgical Critical Care Physician	ME103118	FL
3	2086S0127X	Trauma Surgery Physician	ME103118	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	17023	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013170117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN R SCHUETZ MD

Provider Business Mailing Address
First Line	:	2402 FRIST BLVD
Second Line	:	SUITE 204
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4838
Country	:	US
Telephone Number	:	772-462-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	2042 FRIST BLVD
Second Line	:	SUITE 204
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-3603
Country	:	US
Telephone Number	:	772-462-3939
Fax Number	:	772-462-3938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	12/03/2012

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