Doctor Name: | MRS. CHRISTIE ANN SCHUNEMANN |
NPI Number: | 1013909001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704224979 |
Business Practice Address: | 30550 Utica Rd Roseville, MI - 480661528 |
Business Phone Number: | 7344640887 |
Business Fax Number: | 7344020254 |
Mailing Address: | 4967 Crooks Rd, Ste 130 TROY |
State: | MI |
Postal Code: | 480985801 |
Phone Number: | 2489521601 |
Fax Number: | 2489521614 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704224979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |