MEDICARE: MICHAEL SCHILLING

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	183500000X	Pharmacist	10389	WI

General Provider Information

NPI Number	:	1659785848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCHILLING

Provider Business Mailing Address
First Line	:	203 N MAIN ST
Second Line	:
City	:	LAKE MILLS
State	:	WI
Zip	:	53551-1610
Country	:	US
Telephone Number	:	920-648-3455
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 N MAIN ST
Second Line	:
City	:	LAKE MILLS
State	:	WI
Zip	:	53551-1610
Country	:	US
Telephone Number	:	920-648-3455
Fax Number	:

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

Provider Enumeration Date	:	06/16/2014
Last Update Date	:	06/16/2014

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Directions to “ MICHAEL SCHILLING ” Practice Location

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