Individual
MR. MICHAEL J SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
10350 E DAKOTA AVE # UE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000664
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54835054
—
CO
01
—
7708
KAISER COMMERCIAL NUMBER
CO
Enumeration date
01/20/2006
Last updated
06/03/2021
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