Individual
MICHAEL R. SCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 N UNION BLVD, SUITE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Mailing address
3920 N UNION BLVD, SUITE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101243241
VA
207X00000X
Orthopaedic Surgery Physician
Primary
47402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160128802
—
TX
01
—
P00092584
PALMETTO GBA-RAILROAD
TX
01
—
P00750756
RR MEDICARE
CO
Enumeration date
07/13/2006
Last updated
10/26/2009
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