Provider Demographics
NPI:1558515072
Name:KRISTI S SCHONS DPM INC
Entity Type:Organization
Organization Name:KRISTI S SCHONS DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHONS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-693-7700
Mailing Address - Street 1:3036 VOORHEIS LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1867
Mailing Address - Country:US
Mailing Address - Phone:248-568-8692
Mailing Address - Fax:
Practice Address - Street 1:3036 VOORHEIS LAKE CT
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1867
Practice Address - Country:US
Practice Address - Phone:248-568-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001995213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU91370Medicare UPIN