| Doctor Name: | DR. MARK HOWARD SCHEUTZOW |
| NPI Number: | 1336403872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PHD, MHA |
| License Number: | 97-00166 |
| Business Practice Address: | 2912 Maplewood Ave Winston-salem, NC - 271031507 |
| Business Phone Number: | 3367600706 |
| Business Fax Number: | 3367601927 |
| Mailing Address: | 2912 Maplewood Ave, WINSTON-SALEM |
| State: | NC |
| Postal Code: | 271031507 |
| Phone Number: | 3367600706 |
| Fax Number: | 3367601927 |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 97-00166 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |