Provider Demographics
NPI:1770741993
Name:SCHORSCH, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SCHORSCH
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 1:57 N PARK ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1377
Mailing Address - Country:US
Mailing Address - Phone:603-448-4003
Mailing Address - Fax:603-448-4003
Practice Address - Street 1:57 N PARK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1377
Practice Address - Country:US
Practice Address - Phone:603-448-4003
Practice Address - Fax:603-448-4003
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6680207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine