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NPI Code Detail

MEDICARE: DR. ANDREA THERESA SCHEID M.D.

MEDICARE: DR. ANDREA THERESA SCHEID 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
1208000000XPediatrics Physician4301097897MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962602292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA THERESA SCHEID M.D.
Provider Business Mailing Address
First Line : 10201 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-3149
Country : US
Telephone Number : 888-813-8326
Fax Number : 248-278-4897
Provider Business Practice Location Address
First Line : 11105 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-3317
Country : US
Telephone Number : 248-840-6909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 10/11/2025

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