Healthcare Provider Details

I. General information

NPI: 1144218041
Provider Name (Legal Business Name): MICHAEL T SCHEERER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CHILHOWIE CT
HUNT VALLEY MD
21030-2224
US

IV. Provider business mailing address

4920 CAMPBELL BLVD.
NOTTINGHAM MD
21236
US

V. Phone/Fax

Practice location:
  • Phone: 410-804-4540
  • Fax:
Mailing address:
  • Phone: 410-804-4540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD24567
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: