Basic Information
Provider Information
NPI: 1225492754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMEES
FirstName: MICHAEL
MiddleName: LEWIS
NamePrefix:  
NameSuffix: II
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 525 E MARKET ST
Address2: SUMMA HEALTH SYSTEM/FAMILY MEDICINE RESIDENCY
City: AKRON
State: OH
PostalCode: 443041619
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 525 E MARKET ST
Address2: SUMMA HEALTH SYSTEM/FAMILY MEDICINE RESIDENCY
City: AKRON
State: OH
PostalCode: 443041619
CountryCode: US
TelephoneNumber: 3306153205
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/11/2016
LastUpdateDate: 04/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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