Provider Demographics
NPI:1912964693
Name:SCHELL, DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:SCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2840
Mailing Address - Country:US
Mailing Address - Phone:248-845-9048
Mailing Address - Fax:
Practice Address - Street 1:3728 LOCUST DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MI
Practice Address - Zip Code:48363-2840
Practice Address - Country:US
Practice Address - Phone:248-845-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA025284207L00000X
MI4301088776207L00000X
PAMD424349207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ77887Medicaid
NJF17403Medicare UPIN
NJ77887Medicaid