Doctor Name: | DR. DAVID M OLIGSCHLAEGER |
NPI Number: | 1851383418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036099152 |
Business Practice Address: | 207 S Pine St Suite F Shelbyville, IL - 625651749 |
Business Phone Number: | 2177747883 |
Business Fax Number: | |
Mailing Address: | 207 S Pine St, Suite F SHELBYVILLE |
State: | IL |
Postal Code: | 625651749 |
Phone Number: | 2177747883 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036099152 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |