Provider Demographics
NPI:1215915467
Name:SCHUELEIN, MARIANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:
Last Name:SCHUELEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARIANNE
Other - Middle Name:SCHUELEIN
Other - Last Name:KRAUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3208 44TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3527
Mailing Address - Country:US
Mailing Address - Phone:202-966-3333
Mailing Address - Fax:202-687-4753
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:SUITE 208
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-506-7041
Practice Address - Fax:202-506-7141
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-07
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD26972084N0400X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA71271100Medicaid
DC011075300Medicaid
MD345351100Medicaid
409760Medicare ID - Type Unspecified