MEDICARE: LOUIS MARTIN SCHNEIDER MD

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	207VG0400X	Gynecology Physician	35033216	OH

General Provider Information

NPI Number	:	1629337159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS MARTIN SCHNEIDER MD

Provider Business Mailing Address
First Line	:	25350 ROCKSIDE ROAD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-7110
Country	:	US
Telephone Number	:	440-232-8381
Fax Number	:	440-232-9371

Provider Business Practice Location Address
First Line	:	25350 ROCKSIDE ROAD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-7110
Country	:	US
Telephone Number	:	440-232-8381
Fax Number	:	440-232-9371

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

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	05/03/2012

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