Provider Demographics
NPI:1871584011
Name:SCHELL, GERALD R (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:R
Last Name:SCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3160 CABARET TRL S
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2202
Mailing Address - Country:US
Mailing Address - Phone:989-799-8712
Mailing Address - Fax:989-791-1152
Practice Address - Street 1:3160 CABARET TRL S
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2202
Practice Address - Country:US
Practice Address - Phone:989-799-8712
Practice Address - Fax:989-791-4216
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301045222207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB46083Medicare UPIN
MI0G34525001Medicare ID - Type Unspecified
MI0G34525001Medicare ID - Type Unspecified