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NPI Code Detail

MEDICARE: MATTHEW SCHLOTTERBACK MD

MEDICARE: MATTHEW SCHLOTTERBACK MD
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
1207Q00000XFamily Medicine Physician04-24086KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316919913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW SCHLOTTERBACK MD
Provider Business Mailing Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-2500
Fax Number : 620-669-6751
Provider Business Practice Location Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-2500
Fax Number : 620-669-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 09/18/2023

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