Basic Information
Provider Information
NPI: 1821034570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLOSSER
FirstName: MICHAEL
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 210127
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372210127
CountryCode: US
TelephoneNumber: 6159861256
FaxNumber: 6157271941
Practice Location
Address1: 345 23RD AVE N
Address2: SUITE 320
City: NASHVILLE
State: TN
PostalCode: 372031513
CountryCode: US
TelephoneNumber: 6159861256
FaxNumber: 6157271941
Other Information
ProviderEnumerationDate: 06/21/2006
LastUpdateDate: 11/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X41012TNY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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