Provider Demographics
NPI:1932180148
Name:SCHAAR, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:SCHAAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3955 PATIENT CARE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4271
Mailing Address - Country:US
Mailing Address - Phone:517-374-7600
Mailing Address - Fax:517-908-0886
Practice Address - Street 1:3955 PATIENT CARE DR STE A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4271
Practice Address - Country:US
Practice Address - Phone:517-374-7600
Practice Address - Fax:855-495-5457
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2022-02-15
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Provider Licenses
StateLicense IDTaxonomies
MI4301050244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080D41002OtherBLUE CHOICE
MI080D410020OtherBLUE CARE NETWORK
MI253242OtherHEALTH ADVANTAGE NETWORK
MI253242OtherMCLAREN HEALTH PLAN
MI4279805Medicaid
MI0801900432OtherBLUE CROSS BLUE SHIELD
MI080D410020OtherBLUE CROSS BLUE SHIELD
MI0100306OtherPHYSICIANS HEALTH PLAN
MI080D410020OtherCOMMUNITY BLUE
MI4483519OtherAETNA
MI080D410020OtherBLUE CARE NETWORK
MI4483519OtherAETNA