Healthcare Provider Details

I. General information

NPI: 1073689048
Provider Name (Legal Business Name): MICHAEL DEAN SCHLACHTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 S JONES BLVD STE 100A
LAS VEGAS NV
89146-5625
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIR PMB 3-314
LAS VEGAS NV
89134-6238
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-6694
  • Fax: 702-233-0485
Mailing address:
  • Phone: 702-259-6696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number5562
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: