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Individual
ROBERT LEWIS SCHELONKA
Active
Individual
ROBERT LEWIS SCHELONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD29018
OR
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD29018
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861429987
MEDICAID
OR
05
—
500605530
—
OR
Enumeration date
06/26/2006
Last updated
01/12/2015
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