| David M Oligschlaeger Do Llc | |
|
207 S Pine St Suite F Shelbyville IL 62565-1749 | |
| (217) 774-7883 | |
| (217) 774-5935 |
| Full Name | David M Oligschlaeger Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 S Pine St, Shelbyville, Illinois |
| Authorized Official Name and Position | David M Oligschlaeger (OWNER, DOCTOR) |
| Authorized Official Contact | 2177747883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Oligschlaeger Do Llc 207 S Pine St Suite F Shelbyville IL 62565-1749 Ph: (217) 774-7883 | David M Oligschlaeger Do Llc 207 S Pine St Suite F Shelbyville IL 62565-1749 Ph: (217) 774-7883 |
| NPI Number | 1467520700 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467520700 | NPI | - | NPPES |
| 036099152 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036099152 (Illinois) | Primary |
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