Organization
DAVID M OLIGSCHLAEGER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M OLIGSCHLAEGER DO (OWNER, DOCTOR)
(217) 774-7883
Entity
Organization
Contact information
Practice address
207 S PINE ST, SUITE F, SHELBYVILLE, IL 62565-1749
(217) 774-7883
(217) 774-5935
Mailing address
207 S PINE ST, SUITE F, SHELBYVILLE, IL 62565-1749
(217) 774-7883
(217) 774-5935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099152
—
IL
Enumeration date
12/04/2006
Last updated
05/04/2012
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