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NPI Code Detail

MEDICARE: ANN M SCHNEIDER RDH

MEDICARE: ANN M SCHNEIDER RDH
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
1124Q00000XDental Hygienist2902012620MI

General Provider Information

NPI Number : 1588939136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN M SCHNEIDER RDH
Provider Business Mailing Address
First Line : 2500 HAMLIN DR
Second Line :
City : INKSTER
State : MI
Zip : 48141-2348
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Provider Business Practice Location Address
First Line : 2500 HAMLIN DR
Second Line :
City : INKSTER
State : MI
Zip : 48141-2348
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 03/15/2012

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Directions to “ ANN M SCHNEIDER RDH” Practice Location

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