Individual
JONATHAN SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4250 S EASON BLVD, TUPELO, MS 38801-6549
(662) 377-5265
(662) 377-5260
Mailing address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(517) 917-5609
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
31487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730530064
—
MI
Enumeration date
06/28/2016
Last updated
10/18/2023
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