MEDICARE: CHRISTIAN D. SCHUNN M.D.

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	208600000X	Surgery Physician	010123820	VA
2	208600000X	Surgery Physician	19959	WV
3	2086S0129X	Vascular Surgery Physician	19959	WV
4	2086S0129X	Vascular Surgery Physician	0101-238200	VA
5	2086S0129X	Vascular Surgery Physician	77788	GA
6	2086S0129X	Vascular Surgery Physician	0101238200	VA
7	2086S0129X	Vascular Surgery Physician	29684	MS

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	:	1821098302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN D. SCHUNN M.D.

Provider Business Mailing Address
First Line	:	810 E SUNFLOWER RD
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2800
Country	:	US
Telephone Number	:	662-579-3484
Fax Number	:	662-579-3485

Provider Business Practice Location Address
First Line	:	810 E SUNFLOWER RD STE 100B
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2828
Country	:	US
Telephone Number	:	662-579-3484
Fax Number	:	662-579-3485

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	04/29/2022

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Directions to “ CHRISTIAN D. SCHUNN M.D.” Practice Location

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