Basic Information
Provider Information
NPI: 1730455569
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMEHL
FirstName: ASHLEY
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MILLER
OtherFirstName: ASHLEY
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: J2000
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7347476766
FaxNumber: 7342223100
Practice Location
Address1: 990 W ANN ARBOR TRL
Address2: STE 208
City: PLYMOUTH
State: MI
PostalCode: 481706204
CountryCode: US
TelephoneNumber: 7343987800
FaxNumber: 7344555219
Other Information
ProviderEnumerationDate: 03/27/2012
LastUpdateDate: 07/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X5101019900MIY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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