Provider Demographics
NPI:1164984084
Name:SCHNITZLER, THEODORE M JR (DO)
Entity Type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:M
Last Name:SCHNITZLER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4421
Mailing Address - Country:US
Mailing Address - Phone:610-431-5000
Mailing Address - Fax:610-431-5025
Practice Address - Street 1:701 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4421
Practice Address - Country:US
Practice Address - Phone:610-431-5000
Practice Address - Fax:610-431-5025
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS022079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine