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NPI Code Detail

MEDICARE: DR. MICHAEL EDWARD SCHLEISMAN DC

MEDICARE:  DR. MICHAEL EDWARD SCHLEISMAN  DC
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
1111N00000XChiropractor4552IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112913OTHERIABLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518966993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL EDWARD SCHLEISMAN DC
Provider Business Mailing Address
First Line : 112 W MAIN ST
Second Line :
City : LAKE CITY
State : IA
Zip : 51449-1604
Country : US
Telephone Number : 712-464-3149
Fax Number : 712-464-3148
Provider Business Practice Location Address
First Line : 112 W MAIN ST
Second Line :
City : LAKE CITY
State : IA
Zip : 51449-1604
Country : US
Telephone Number : 712-464-3149
Fax Number : 712-464-3148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 10/02/2007

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Directions to “ DR. MICHAEL EDWARD SCHLEISMAN DC” Practice Location

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