Individual
SUSAN SCHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 POST OFFICE RD, SUITE M, WALDORF, MD 20602-2744
(301) 932-5838
(301) 843-0324
Mailing address
7 POST OFFICE RD, SUITE M, WALDORF, MD 20602-2744
(301) 932-5838
(301) 843-0324
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0024395
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010014004
RAILROAD MEDICARE
MD
01
—
2136101
MAMSI/ALLIANCE
MD
01
—
42045202
BLUE CROSS OF MARYLAND
MD
Enumeration date
01/13/2006
Last updated
02/17/2010
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