Provider Demographics
NPI:1306824321
Name:SCHMUKER, GERALD NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:NICHOLAS
Last Name:SCHMUKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E SAVIDGE ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-2418
Mailing Address - Country:US
Mailing Address - Phone:616-970-2743
Mailing Address - Fax:
Practice Address - Street 1:701 E SAVIDGE ST STE 6
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-2418
Practice Address - Country:US
Practice Address - Phone:616-566-5441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011135712084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry