Healthcare Provider Details

I. General information

NPI: 1316046436
Provider Name (Legal Business Name): MICHAEL D SCHREIBER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 ARTHUR DR STE 1
MILTON WI
53563-3728
US

IV. Provider business mailing address

831 ARTHUR DR STE 1
MILTON WI
53563-3728
US

V. Phone/Fax

Practice location:
  • Phone: 608-868-3526
  • Fax: 608-868-3527
Mailing address:
  • Phone: 608-868-3526
  • Fax: 608-868-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036-089050
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number54743-021
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: