Provider Demographics
NPI:1033479720
Name:SCHAEFER, MARIE ANN (MD)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ANN
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26900 CEDAR RD
Mailing Address - Street 2:BD10
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1191
Mailing Address - Country:US
Mailing Address - Phone:216-839-3000
Mailing Address - Fax:216-839-3910
Practice Address - Street 1:5555 TRANSPORTATION BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5371
Practice Address - Country:US
Practice Address - Phone:216-425-7257
Practice Address - Fax:216-771-5873
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2024-05-15
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Provider Licenses
StateLicense IDTaxonomies
OH35.123858207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine