Healthcare Provider Details
I. General information
NPI: 1508832981
Provider Name (Legal Business Name): DAVID BRIAN SCHNITZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
575 CHARRING CROSS DR SUITE 101
WESTERVILLE OH
43081-4901
US
IV. Provider business mailing address
6591 W CENTRAL AVE SUITE 202
TOLEDO OH
43617-1087
US
V. Phone/Fax
- Phone: 614-895-0679
- Fax: 614-895-0781
- Phone: 419-517-6599
- Fax: 419-517-0503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0107X |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| License Number | 35066402 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 35066402 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: