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NPI Code Detail

MEDICARE: TANYA MARIE SCHMIEDER PTA

MEDICARE: TANYA MARIE SCHMIEDER PTA
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
1208100000XPhysical Medicine & Rehabilitation Physician5502001008MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15502001008OTHERMISTATE LICENSE

General Provider Information

NPI Number : 1093290173
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA MARIE SCHMIEDER PTA
Provider Business Mailing Address
First Line : 209 S CHERRY ST
Second Line :
City : FLUSHING
State : MI
Zip : 48433-2020
Country : US
Telephone Number : 810-487-9733
Fax Number : 810-867-4938
Provider Business Practice Location Address
First Line : 209 S CHERRY ST
Second Line :
City : FLUSHING
State : MI
Zip : 48433-2020
Country : US
Telephone Number : 810-487-9733
Fax Number : 810-867-4938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 09/25/2018

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Directions to “ TANYA MARIE SCHMIEDER PTA” Practice Location

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