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NPI Code Detail

MEDICARE: CAITLIN ABIDIN SCHONEWOLF MD

MEDICARE: CAITLIN ABIDIN SCHONEWOLF 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
1207R00000XInternal Medicine PhysicianMT203832PA
22085R0001XRadiation Oncology Physician4301114967MI

General Provider Information

NPI Number : 1780029363
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN ABIDIN SCHONEWOLF MD
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1633
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 1500 EAST MEDICAL CENTER DR
Second Line : B2 FLOOR UNIVERSITY HOSPITAL RM C490
City : ANN ARBOR
State : MI
Zip : 48109-5010
Country : US
Telephone Number : 734-936-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2013
Last Update Date : 02/25/2020

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