Doctor Name: | DEBORAH A SCHILLING |
NPI Number: | 1194704114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 9269 |
Business Practice Address: | 1575 Lookout Dr Mankato Clinic At North Mankato North Mankato, MN - 56003 |
Business Phone Number: | 5076255027 |
Business Fax Number: | |
Mailing Address: | Po Box 8674, 1230 E Main St MANKATO |
State: | MN |
Postal Code: | 560028674 |
Phone Number: | 5076251811 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 9269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |