Healthcare Provider Details

I. General information

NPI: 1790007359
Provider Name (Legal Business Name): THOMAS LOUIS SCHNEIDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 TOWNSEND ST MC 489-066-046
LANSING MI
48921-0001
US

IV. Provider business mailing address

8175 MILLETT HWY MC 489-001-019
LANSING MI
48917-8512
US

V. Phone/Fax

Practice location:
  • Phone: 517-885-7856
  • Fax: 517-885-7869
Mailing address:
  • Phone: 517-721-3858
  • Fax: 517-721-3136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301072095
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA30437
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301072095
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA30437
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301072095
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: