MEDICARE: DR. FORREST A. SCHUCKER M.D.,PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD018620E	PA

General Provider Information

NPI Number	:	1205093119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FORREST A. SCHUCKER M.D.,PH.D.

Provider Business Mailing Address
First Line	:	433 PENINSULA DR
Second Line	:
City	:	CENTRAL CITY
State	:	PA
Zip	:	15926-9360
Country	:	US
Telephone Number	:	814-754-5814
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 PENINSULA DR
Second Line	:
City	:	CENTRAL CITY
State	:	PA
Zip	:	15926-9360
Country	:	US
Telephone Number	:	814-754-5814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/19/2008

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Directions to “ DR. FORREST A. SCHUCKER M.D.,PH.D.” Practice Location

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