Provider Demographics
NPI:1558363853
Name:SCHREIBER, FREDERICK C (DO)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:C
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4442 GENESYS PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8072
Mailing Address - Country:US
Mailing Address - Phone:866-974-2673
Mailing Address - Fax:866-939-2673
Practice Address - Street 1:4442 GENESYS PKWY
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8072
Practice Address - Country:US
Practice Address - Phone:866-974-2673
Practice Address - Fax:866-939-2673
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006977207XS0114X, 174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI105256OtherCARE CHOICE
MI2052500175OtherBLUE CARE NETWORK
MI2894752Medicaid
MI38-2710423OtherTAX ID EFF 1.19.15
MI382368031OtherPPOM
MI5250017OtherBLUE CROSS OF MICHIGAN
MI120628OtherSELECTCARE
MIE25876OtherHEALTH ALLIANCE PLAN
MIP50685OtherBLUECARE NETWORK
MI200001927OtherRAILROAD MEDICARE
MI2169770OtherCHAMPUS/TRICARE
MI2000175OtherHEALTHPLUS OF MICHIGAN
MI4073451OtherAETNA
MIC2512OtherMCARE
MI4073451OtherAETNA
MIE25876Medicare UPIN