Basic Information
Provider Information
NPI: 1710142054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNEEBERGER
FirstName: STEFAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3550 TERRACE ST
Address2: SCAIFE HALL 678
City: PITTSBURGH
State: PA
PostalCode: 152610001
CountryCode: US
TelephoneNumber: 4123836881
FaxNumber: 4126481987
Practice Location
Address1: 3550 TERRACE ST
Address2: SCAIFE HALL 678
City: PITTSBURGH
State: PA
PostalCode: 152610001
CountryCode: US
TelephoneNumber: 4123836881
FaxNumber: 4126481987
Other Information
ProviderEnumerationDate: 07/25/2008
LastUpdateDate: 07/25/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204F00000XMD435141PAY Allopathic & Osteopathic PhysiciansTransplant Surgery 

No ID Information.


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