MEDICARE: DR. MICHAEL D SCHREIBER 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	207P00000X	Emergency Medicine Physician	036-089050	IL
2	207Q00000X	Family Medicine Physician	54743-021	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54743-021	OTHER	WI	LICENSE

General Provider Information

NPI Number	:	1316046436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL D SCHREIBER DO

Provider Business Mailing Address
First Line	:	831 ARTHUR DR STE 1
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3728
Country	:	US
Telephone Number	:	608-868-3526
Fax Number	:	608-868-3527

Provider Business Practice Location Address
First Line	:	831 ARTHUR DR STE 1
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3728
Country	:	US
Telephone Number	:	608-868-3526
Fax Number	:	608-868-3527

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	02/26/2015

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