Provider Demographics
NPI:1497019764
Name:SCHUMANN, FREDERICK ALBERT (MD)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:ALBERT
Last Name:SCHUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1387
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1387
Mailing Address - Country:US
Mailing Address - Phone:303-961-8766
Mailing Address - Fax:303-688-2600
Practice Address - Street 1:1297 S PERRY ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1977
Practice Address - Country:US
Practice Address - Phone:303-961-8766
Practice Address - Fax:303-688-2600
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18693207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology