Provider Demographics
NPI:1740440122
Name:SCHNUR, ELIZABETH ANN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:SCHNUR
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22811 GREATER MACK AVE STE L7
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2057
Mailing Address - Country:US
Mailing Address - Phone:586-800-5110
Mailing Address - Fax:586-218-7211
Practice Address - Street 1:22811 GREATER MACK AVE STE L7
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2057
Practice Address - Country:US
Practice Address - Phone:586-800-5110
Practice Address - Fax:586-218-7211
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011126182084P0800X
VT042.00132022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry