Provider Demographics
NPI:1194831560
Name:SCHULDINGER, MICHAEL SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:SCHULDINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 COOLEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-4184
Mailing Address - Country:US
Mailing Address - Phone:248-360-4450
Mailing Address - Fax:248-360-4586
Practice Address - Street 1:7938 COOLEY LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-4184
Practice Address - Country:US
Practice Address - Phone:248-360-4450
Practice Address - Fax:248-360-4586
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF35283OtherBCBS
T97149Medicare UPIN
MI95OF35283Medicare ID - Type Unspecified