Healthcare Provider Details

I. General information

NPI: 1689698250
Provider Name (Legal Business Name): DARREN LAWRENCE SCHMIDT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 W LIBERTY RD
ANN ARBOR MI
48103-9049
US

IV. Provider business mailing address

3610 W LIBERTY RD
ANN ARBOR MI
48103-9049
US

V. Phone/Fax

Practice location:
  • Phone: 734-302-7575
  • Fax: 734-821-7576
Mailing address:
  • Phone: 734-302-7575
  • Fax: 734-821-7576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2301008059
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: