Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/16/2008
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:
Mailing address:
  • Phone: 734-302-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDS008059
License Number StateMI

VIII. Authorized Official

Name: DR. DARREN L SCHMIDT
Title or Position: OWNER
Credential: DC
Phone: 734-302-7575