Provider Demographics
NPI:1285618876
Name:SCHUH, MARLYS E (MD)
Entity type:Individual
Prefix:DR
First Name:MARLYS
Middle Name:E
Last Name:SCHUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15945 CLAYTON RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2490
Mailing Address - Country:US
Mailing Address - Phone:636-256-5000
Mailing Address - Fax:636-256-5100
Practice Address - Street 1:15945 CLAYTON RD
Practice Address - Street 2:SUITE 120
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2490
Practice Address - Country:US
Practice Address - Phone:636-256-5000
Practice Address - Fax:636-256-5100
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR5C682086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202405023Medicaid
MO202405023Medicaid
MOA10511Medicare UPIN