Provider Demographics
NPI:1538727391
Name:SCHUMAKER, ALEX ZACHARY (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:ZACHARY
Last Name:SCHUMAKER
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 1:4600 INVESTMENT DR STE 180
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6366
Mailing Address - Country:US
Mailing Address - Phone:586-943-2220
Mailing Address - Fax:
Practice Address - Street 1:3601 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6712
Practice Address - Country:US
Practice Address - Phone:248-898-0161
Practice Address - Fax:248-898-3631
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351044761208100000X
MI5315206750208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4351044761OtherEDUCATIONAL LIMITED LICENSE NUMBER
MI5315206750OtherCONTROLLED SUBSTANCE NUMBER