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NPI Code Detail

MEDICARE: DR. DAVID M OLIGSCHLAEGER D.O.

MEDICARE: DR. DAVID M OLIGSCHLAEGER D.O.
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
1207Q00000XFamily Medicine Physician036099152IL
2208D00000XGeneral Practice Physician036099152IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851383418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M OLIGSCHLAEGER D.O.
Provider Business Mailing Address
First Line : 207 S PINE ST
Second Line : SUITE F
City : SHELBYVILLE
State : IL
Zip : 62565-1749
Country : US
Telephone Number : 217-774-7883
Fax Number :
Provider Business Practice Location Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-4400
Fax Number : 217-774-6445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 12/22/2021

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