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NPI Code Detail

MEDICARE: DR. DOUGLAS W SCHREYACK M.D.

MEDICARE: DR. DOUGLAS W SCHREYACK 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
1213EP1101XPrimary Podiatric Medicine Podiatrist331NC

General Provider Information

NPI Number : 1861589418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS W SCHREYACK M.D.
Provider Business Mailing Address
First Line : 4101 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 919-684-8111
Fax Number :
Provider Business Practice Location Address
First Line : 4101 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 12/10/2025

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