NPI Code Details Logo

NPI 1700942133

NPI 1700942133 : PERSONAL CARE PHYSICIAN PLLC : NOVI, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700942133
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PERSONAL CARE PHYSICIAN PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/29/2006
-----------------------------------------------------
    Last Update Date     |    08/22/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    26179 NOVI RD 
-----------------------------------------------------
    City                 |    NOVI
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48375-1140
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-912-1919
-----------------------------------------------------
    Fax                  |    248-912-1915
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    26179 NOVI RD 
-----------------------------------------------------
    City                 |    NOVI
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48375-1140
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-912-1919
-----------------------------------------------------
    Fax                  |    248-912-1915
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     DAVID NEIL SCHINDLER 
-----------------------------------------------------
    Credential           |    M.D.
-----------------------------------------------------
    Telephone            |    248-912-1919
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    4301407358
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.