Provider Demographics
NPI:1083609887
Name:SCHNEIDER, ANNE M (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:43800 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1136
Mailing Address - Country:US
Mailing Address - Phone:800-848-0202
Mailing Address - Fax:586-226-6949
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:313
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-3494
Practice Address - Fax:313-343-4932
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301060355207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4301060355OtherCONTROLLED SUBSTANCE
MI3268763Medicaid
4301060355OtherCONTROLLED SUBSTANCE
G27714Medicare UPIN