Healthcare Provider Details

I. General information

NPI: 1770628018
Provider Name (Legal Business Name): VICTOR J. SCHUELER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 E ANDREW JOHNSON HWY
GREENEVILLE TN
37745-3098
US

IV. Provider business mailing address

4850 E ANDREW JOHNSON HWY P.O. BOX 910
GREENEVILLE TN
37745-3098
US

V. Phone/Fax

Practice location:
  • Phone: 423-787-6800
  • Fax: 423-798-6204
Mailing address:
  • Phone: 423-787-6800
  • Fax: 423-798-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberMD0000025612
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: