| Edward Schneider Md Inc | |
|
1017 W Lincoln Rd Stockton CA 95207-2515 | |
| (209) 951-3945 | |
| (209) 954-9205 |
| Full Name | Edward Schneider Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1017 W Lincoln Rd, Stockton, California |
| Authorized Official Name and Position | Edward Schneider (PRESIDENT) |
| Authorized Official Contact | 2099513945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Schneider Md Inc 1017 W Lincoln Rd Stockton CA 95207-2515 Ph: (209) 951-3945 | Edward Schneider Md Inc 1017 W Lincoln Rd Stockton CA 95207-2515 Ph: (209) 951-3945 |
| NPI Number | 1134478472 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 08/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134478472 | NPI | - | NPPES |
| 00G209670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G20679 (California) | Primary |
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