MEDICARE: RICHARD L. SAHLHOFF, DO

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	207Q00000X	Family Medicine Physician	5101006248	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275686735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD L. SAHLHOFF, DO

Provider Business Mailing Address
First Line	:	6110 HOLTON RD
Second Line	:	PO BOX 69
City	:	TWIN LAKE
State	:	MI
Zip	:	49457-8528
Country	:	US
Telephone Number	:	231-828-6848
Fax Number	:	231-828-4763

Provider Business Practice Location Address
First Line	:	6110 HOLTON RD
Second Line	:
City	:	TWIN LAKE
State	:	MI
Zip	:	49457-8528
Country	:	US
Telephone Number	:	231-828-6848
Fax Number	:	231-828-4763

Authorized Official
Title or Position	:	PROVIDER RELATIONS
Name	:	CINDY CURRAN
Credential	:
Telephone Number	:	231-672-3032

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	06/17/2008

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