MEDICARE: DARREN L. SCHMIDT, DC, ND, PLLC

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	111NN1001X	Nutrition Chiropractor	DS008059	MI

General Provider Information

NPI Number	:	1811006844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARREN L. SCHMIDT, DC, ND, PLLC

Provider Business Mailing Address
First Line	:	3610 W LIBERTY RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-9049
Country	:	US
Telephone Number	:	734-302-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 W LIBERTY RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-9049
Country	:	US
Telephone Number	:	734-302-7575
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DARREN L SCHMIDT
Credential	:	DC
Telephone Number	:	734-302-7575

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/16/2008

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