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Individual

CHRISTIAN SCHUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSFA, RSA

Contact information

Practice address
12220 CHATTANOOGA PLZ, SUITE 121, MIDLOTHIAN, VA 23112-2311
(803) 716-7914
Mailing address
12220 CHATTANOOGA PLZ STE 121, MIDLOTHIAN, VA 23112-4865
(803) 716-7914

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000271
VA
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0136000271
BOARD OF MEDICINE
VA
01
158702
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING (NBSTSA)
SC
Enumeration date
11/14/2016
Last updated
08/15/2019
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