Healthcare Provider Details

I. General information

NPI: 1861457251
Provider Name (Legal Business Name): TAMMI LOUISE SHLOTZHAUER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 11/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HELENDALE RD SUITE 90
ROCHESTER NY
14609-3173
US

IV. Provider business mailing address

500 HELENDALE RD SUITE 90
ROCHESTER NY
14609-3173
US

V. Phone/Fax

Practice location:
  • Phone: 585-288-0530
  • Fax: 585-288-3363
Mailing address:
  • Phone: 585-288-0530
  • Fax: 585-288-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number167996
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: