MEDICARE: DR. MICHAEL J SCHETTER DMSC, PA-C

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	363A00000X	Physician Assistant	50.003996RX	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225452832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J SCHETTER DMSC, PA-C

Provider Business Mailing Address
First Line	:	105 LAVENDER HILL DR
Second Line	:
City	:	ETNA
State	:	OH
Zip	:	43062-7370
Country	:	US
Telephone Number	:	937-360-6590
Fax Number	:

Provider Business Practice Location Address
First Line	:	6855 SPRING VALLEY DR STE 110
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9374
Country	:	US
Telephone Number	:	855-659-7734
Fax Number	:

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

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	07/18/2023

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