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NPI Code Detail

MEDICARE: MICHAEL THOMAS SCHOONMAKER

MEDICARE:   MICHAEL THOMAS SCHOONMAKER
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
1390200000XStudent in an Organized Health Care Education/Training Program276577SC

General Provider Information

NPI Number : 1689506172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL THOMAS SCHOONMAKER
Provider Business Mailing Address
First Line : 1280 APPLING DR UNIT 310
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4789
Country : US
Telephone Number : 518-951-5526
Fax Number :
Provider Business Practice Location Address
First Line : 99 JONATHAN LUCAS ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-5712
Country : US
Telephone Number : 843-792-8515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/02/2026

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Directions to “ MICHAEL THOMAS SCHOONMAKER ” Practice Location

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