Healthcare Provider Details
I. General information
NPI: 1821034570
Provider Name (Legal Business Name): MICHAEL JAMES SCHLOSSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2006
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 23RD AVE N SUITE 320
NASHVILLE TN
37203-1513
US
IV. Provider business mailing address
PO BOX 210127
NASHVILLE TN
37221-0127
US
V. Phone/Fax
- Phone: 615-986-1256
- Fax: 615-727-1941
- Phone: 615-986-1256
- Fax: 615-727-1941
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | 41012 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: