Individual
GREGORY JOHN SCHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 30TH ST, #508, OAKLAND, CA 94609-3310
(925) 274-4950
(925) 274-4950
Mailing address
411 30TH ST, #508, OAKLAND, CA 94609-3310
(925) 274-4950
(925) 274-4950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G53787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G537870
BLUE SHIELD
CA
05
—
00G537870
—
CA
Enumeration date
12/05/2005
Last updated
02/23/2015
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