# MICHAEL A SCHELLPFEFFER MD OB GYN SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578625794
- **Authorized official:** MICHAEL A SCHELLPFEFFER MD (PHYSICIAN OWNER)
- **Authorized official phone:** (262) 658-2133

## Contact information

- **Practice address:** 1400 75TH STREET, KENOSHA, WI 53143
- **Practice address phone:** (262) 658-2133
- **Practice address fax:** (262) 658-2699
- **Mailing address:** 1400 75TH ST, SUITE \#1, KENOSHA, WI 53143
- **Mailing address phone:** (262) 658-2133
- **Mailing address fax:** (262) 658-2699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25699020 | WI | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020