Provider Demographics
NPI:1235158684
Name:SCHOLL, ANDREW PAUL (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAUL
Last Name:SCHOLL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3785 BAY RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2433
Mailing Address - Country:US
Mailing Address - Phone:989-791-2455
Mailing Address - Fax:989-791-1392
Practice Address - Street 1:100 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:MI
Practice Address - Zip Code:49250-1197
Practice Address - Country:US
Practice Address - Phone:517-849-9090
Practice Address - Fax:517-849-9970
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601003693363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP20720003Medicare ID - Type Unspecified