Provider Demographics
NPI:1265086177
Name:SCHOECH, ADAM G
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:G
Last Name:SCHOECH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201A S DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-4426
Mailing Address - Country:US
Mailing Address - Phone:231-929-0526
Mailing Address - Fax:
Practice Address - Street 1:1201A S DIVISION ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4426
Practice Address - Country:US
Practice Address - Phone:231-929-0526
Practice Address - Fax:231-932-1653
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist