Healthcare Provider Details

I. General information

NPI: 1962602292
Provider Name (Legal Business Name): ANDREA THERESA SCHEID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11105 E JEFFERSON AVE
DETROIT MI
48214-3317
US

IV. Provider business mailing address

10201 E JEFFERSON AVE
DETROIT MI
48214-3149
US

V. Phone/Fax

Practice location:
  • Phone: 248-840-6909
  • Fax:
Mailing address:
  • Phone: 888-813-8326
  • Fax: 248-278-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301097897
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: