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NPI Code Detail

MEDICARE: MATTHEW D SCHIEBER

MEDICARE: MATTHEW D SCHIEBER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6585-15WI

General Provider Information

NPI Number : 1265746481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW D SCHIEBER
Provider Business Mailing Address
First Line : 3520 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4175
Country : US
Telephone Number : 414-645-0365
Fax Number :
Provider Business Practice Location Address
First Line : 3520 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4175
Country : US
Telephone Number : 414-645-0365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2010
Last Update Date : 07/29/2010

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