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General NPI Number Information
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NPI Number | 1073689048
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Entity Type | Individual
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Provider Name | MICHAEL DEAN SCHLACHTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 2780 S JONES BLVD STE 100A
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City | LAS VEGAS
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State | NV
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Zip | 89146-5625
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Country | US
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Telephone | 702-233-6694
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Fax | 702-233-0485
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Provider Business Mailing Address
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Address Line | 1930 VILLAGE CENTER CIR PMB 3-314
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City | LAS VEGAS
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State | NV
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Zip | 89134-6238
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Country | US
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Telephone | 702-259-6696
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 5562
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License Number State | NV
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