MEDICARE: PAUL SCHRECK 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	207X00000X	Orthopaedic Surgery Physician	070098	MI

General Provider Information

NPI Number	:	1972535029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL SCHRECK M.D.

Provider Business Mailing Address
First Line	:	16815 E JEFFERSON AVE STE 150
Second Line	:
City	:	GROSSE POINTE
State	:	MI
Zip	:	48230-1923
Country	:	US
Telephone Number	:	313-881-4900
Fax Number	:	313-881-4901

Provider Business Practice Location Address
First Line	:	19701 VERNIER RD
Second Line	:	STE 150
City	:	HARPER WOODS
State	:	MI
Zip	:	48225-1467
Country	:	US
Telephone Number	:	313-881-4900
Fax Number	:	313-881-4901

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/25/2022

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