Provider Demographics
NPI:1790007359
Name:SCHNEIDER, THOMAS LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:LOUIS
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8175 MILLETT HWY
Mailing Address - Street 2:MC 489-001-019
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8512
Mailing Address - Country:US
Mailing Address - Phone:517-721-3858
Mailing Address - Fax:517-721-3136
Practice Address - Street 1:920 TOWNSEND ST
Practice Address - Street 2:MC 489-066-046
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48921-0001
Practice Address - Country:US
Practice Address - Phone:517-885-7856
Practice Address - Fax:517-885-7869
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072095207R00000X, 207RE0101X, 2083X0100X
CAA30437207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine