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NPI Code Detail

MEDICARE: MICHAELA WOLSCHLAGER

MEDICARE: MICHAELA WOLSCHLAGER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1801499561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA WOLSCHLAGER
Provider Business Mailing Address
First Line : 443 N STATE ST
Second Line :
City : CARO
State : MI
Zip : 48723-1539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 651 N STATE ST
Second Line :
City : CARO
State : MI
Zip : 48723-1584
Country : US
Telephone Number : 989-673-5700
Fax Number : 989-672-2555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ MICHAELA WOLSCHLAGER ” Practice Location

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