Individual
DR. GARY M SCHNIEGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35043834
OH
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
35043834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493602
ANTHEM
—
05
—
0567551
—
OH
Enumeration date
03/09/2006
Last updated
04/05/2010
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