Individual
MARK MATTHEW SCHEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 1ST ST STE 3, CORONADO, CA 92118-1491
(619) 787-7406
Mailing address
1222 1ST ST, CORONADO, CA 92118-1491
(619) 787-7406
(619) 359-8762
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
15237
MS
207Y00000X
Otolaryngology Physician
Primary
A106775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223361
MEDICARE PTAN
—
Enumeration date
05/11/2006
Last updated
07/21/2022
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