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NPI Code Detail

MEDICARE: MICHELLE SCHLEIS O.D.

MEDICARE: MICHELLE SCHLEIS O.D.
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
1152W00000XOptometrist3208-35WI

General Provider Information

NPI Number : 1275845414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SCHLEIS O.D.
Provider Business Mailing Address
First Line : 2851 UNIVERSITY AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-5855
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2851 UNIVERSITY AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-5855
Country : US
Telephone Number : 920-431-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2010
Last Update Date : 01/16/2019

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Directions to “ MICHELLE SCHLEIS O.D.” Practice Location

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