Provider Demographics
NPI:1770674277
Name:SCHEURER, WILLIAM EDWIN JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWIN
Last Name:SCHEURER
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2165 COMMONS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864
Mailing Address - Country:US
Mailing Address - Phone:517-349-5663
Mailing Address - Fax:517-349-8212
Practice Address - Street 1:1006 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3052
Practice Address - Country:US
Practice Address - Phone:517-349-5663
Practice Address - Fax:517-349-8212
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6301001713103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0C346137622Medicare ID - Type Unspecified