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NPI Code Detail

MEDICARE: GWEN SCHILLER, D.C., P.C.

MEDICARE: GWEN SCHILLER, D.C., P.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 : 1669504866
Entity Type Code : Organization
Provider Name (Legal Business Name) : GWEN SCHILLER, D.C., P.C.
Provider Business Mailing Address
First Line : 7710 N UNION BLVD
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-4030
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 : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-4030
Country : US
Telephone Number : 719-598-8288
Fax Number : 719-260-9899
Authorized Official
Title or Position : OWNER
Name : DR. GWEN MARY SCHILLER
Credential : DC
Telephone Number : 719-598-8288
Provider Enumeration Date : 03/12/2007
Last Update Date : 08/22/2020

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