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NPI Code Detail

MEDICARE: GWEN MARY SCHILLER D.C.

MEDICARE:   GWEN MARY SCHILLER  D.C.
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
1111N00000XChiropractor4536CO

General Provider Information

NPI Number : 1548297427
Entity Type Code : Individual
Provider Name (Legal Business Name) : GWEN MARY SCHILLER D.C.
Provider Business Mailing Address
First Line : 7710 N UNION BLVD
Second Line : STE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-4063
Country : US
Telephone Number : 719-598-8288
Fax Number : 719-260-9899
Provider Business Practice Location Address
First Line : 7710 N UNION BLVD
Second Line : STE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-4063
Country : US
Telephone Number : 719-598-8288
Fax Number : 719-260-9899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/08/2007

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Directions to “ GWEN MARY SCHILLER D.C.” Practice Location

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