MEDICARE: WILLIAM L SCHLOTTERER DO

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	207Q00000X	Family Medicine Physician	34003224	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000130558	OTHER	OH	ANTHEM BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4090204	OTHER		AETNA
4	P03259	OTHER		HEALTHSCOPE

General Provider Information

NPI Number	:	1902889439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM L SCHLOTTERER DO

Provider Business Mailing Address
First Line	:	1610 CLEVELAND RD
Second Line	:	STE. 103
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4374
Country	:	US
Telephone Number	:	419-625-7122
Fax Number	:	419-625-8149

Provider Business Practice Location Address
First Line	:	1610 CLEVELAND RD
Second Line	:	STE. 103
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4374
Country	:	US
Telephone Number	:	419-625-7122
Fax Number	:	419-625-8149

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	01/18/2011

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