MEDICARE: DR. ROBERT B SCHLAMER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5000946-015	WI

General Provider Information

NPI Number	:	1023239126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B SCHLAMER D.D.S.

Provider Business Mailing Address
First Line	:	N56W39076 LAKEVIEW LN
Second Line	:
City	:	OCONOMOWOC
State	:	WI
Zip	:	53066-2128
Country	:	US
Telephone Number	:	262-567-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 S 27TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-1855
Country	:	US
Telephone Number	:	414-282-3250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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