Healthcare Provider Details

I. General information

NPI: 1013038777
Provider Name (Legal Business Name): PAUL SCHERRER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W OUTER DR
DETROIT MI
48235-3461
US

IV. Provider business mailing address

29959 RICHMOND HL
FARMINGTON HILLS MI
48334-2332
US

V. Phone/Fax

Practice location:
  • Phone: 313-387-1900
  • Fax:
Mailing address:
  • Phone: 248-626-7469
  • Fax: 248-626-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number5501004342
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: