MEDICARE: JEANNE M SCHALL DO

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	207R00000X	Internal Medicine Physician	7175	OH
2	207R00000X	Internal Medicine Physician	34007175	OH
3	207R00000X	Internal Medicine Physician	510-102-0677	MI

General Provider Information

NPI Number	:	1902881360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE M SCHALL DO

Provider Business Mailing Address
First Line	:	10850 E TRAVERSE HWY STE 4400
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-1320
Country	:	US
Telephone Number	:	231-346-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5640 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:	517-577-0000
Fax Number	:

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	04/20/2021

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Directions to “ JEANNE M SCHALL DO” Practice Location

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