MEDICARE: DR. ADAM SCHEURER D.M.D

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	122300000X	Dentist	2901021381	MI

General Provider Information

NPI Number	:	1336555770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM SCHEURER D.M.D

Provider Business Mailing Address
First Line	:	3864 GRATIOT AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-1536
Country	:	US
Telephone Number	:	810-334-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	3864 GRATIOT AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-1536
Country	:	US
Telephone Number	:	810-334-8722
Fax Number	:

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

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	07/28/2014

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