Basic Information
| Provider Information | |||||||||
| NPI: | 1972776862 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHLUETER | ||||||||
| FirstName: | MARTIN | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 87 CONSERVATORY DR | ||||||||
| Address2: | STE. A | ||||||||
| City: | BARBERTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442034291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307947993 | ||||||||
| FaxNumber: | 3307947996 | ||||||||
| Practice Location | |||||||||
| Address1: | 87 CONSERVATORY DR | ||||||||
| Address2: | STE. A | ||||||||
| City: | BARBERTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442034291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307947993 | ||||||||
| FaxNumber: | 3307947996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2008 | ||||||||
| LastUpdateDate: | 09/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 4301082420 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 35092131 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 2877561 | 05 | OH | MEDICAID | 4249781 | 01 | OH | MEDICARE ID | OTHER |