Provider Demographics
NPI:1386652915
Name:SCHNEIDER, GRANT A SR (DC)
Entity Type:Individual
Prefix:DR
First Name:GRANT
Middle Name:A
Last Name:SCHNEIDER
Suffix:SR
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 1:37625 ANN ARBOR RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2400
Mailing Address - Country:US
Mailing Address - Phone:734-462-2262
Mailing Address - Fax:734-462-6232
Practice Address - Street 1:37625 ANN ARBOR RD
Practice Address - Street 2:SUITE 111
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2400
Practice Address - Country:US
Practice Address - Phone:734-462-2262
Practice Address - Fax:734-462-6232
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOH27087OtherBLUE CROSS BLUE SHIELD