Provider Demographics
NPI:1740218643
Name:SCHRAM, KAREL S (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREL
Middle Name:S
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6330 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-9614
Mailing Address - Country:US
Mailing Address - Phone:231-893-8713
Mailing Address - Fax:231-893-6330
Practice Address - Street 1:2700 BAKER ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-2157
Practice Address - Country:US
Practice Address - Phone:231-737-1335
Practice Address - Fax:231-737-0534
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601003087363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIS78113Medicare UPIN
MI231858Medicare Oscar/Certification