Provider Demographics
NPI:1760656789
Name:FREDERICK C SCHREIBER DO PC
Entity Type:Organization
Organization Name:FREDERICK C SCHREIBER DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-232-6190
Mailing Address - Street 1:G3169 BEECHER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3611
Mailing Address - Country:US
Mailing Address - Phone:810-232-6190
Mailing Address - Fax:810-232-9348
Practice Address - Street 1:G3169 BEECHER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3611
Practice Address - Country:US
Practice Address - Phone:810-232-6190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFS006977207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000175OtherHEALTHPLUS OF MI
200001927OtherUNITED HEALTH CARE
MI2052500175OtherBLUE CARE NETWORK
4073451OtherAETNA
E25876OtherHAP
MI2052500175OtherBLUE CROSS BLUE SHIELD OF MI
MI2894752Medicaid
200001927OtherRAILROAD MEDICARE
2169770OtherTRICARE
E25876OtherHAP
MIE25876Medicare UPIN