MEDICARE: MRS. LIBBY SAMANTHA SCHOENBERG PA-S

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	363AM0700X	Medical Physician Assistant	1851118806	MI

General Provider Information

NPI Number	:	1851118806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LIBBY SAMANTHA SCHOENBERG PA-S

Provider Business Mailing Address
First Line	:	3621 ROBINA AVE
Second Line	:
City	:	BERKLEY
State	:	MI
Zip	:	48072-1443
Country	:	US
Telephone Number	:	248-504-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 SOUTH BLVD E
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5364
Country	:	US
Telephone Number	:	248-289-6643
Fax Number	:

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

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	06/11/2026

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