Healthcare Provider Details

I. General information

NPI: 1699769844
Provider Name (Legal Business Name): JOSEPH GEORGE SCHLAGECK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 09/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 MEADOWLARK RD
MANHATTAN KS
66502-4556
US

IV. Provider business mailing address

2103 MEADOWLARK RD
MANHATTAN KS
66502-4556
US

V. Phone/Fax

Practice location:
  • Phone: 785-537-1900
  • Fax: 785-537-6240
Mailing address:
  • Phone: 785-537-1900
  • Fax: 785-537-6240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0420182
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number0420182
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0420182
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: