MEDICARE: DR. MICHAEL SCHUMAN DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	22109	CA

General Provider Information

NPI Number	:	1275592966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCHUMAN DDS

Provider Business Mailing Address
First Line	:	827 ALTOS OAKS DR
Second Line	:	#4
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5495
Country	:	US
Telephone Number	:	650-948-6505
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 ALTOS OAKS DR
Second Line	:	#4
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5495
Country	:	US
Telephone Number	:	650-948-6505
Fax Number	:

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	05/21/2010

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