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Individual

DR. MICHAEL EDWARD SCHLEISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
112 W MAIN ST, LAKE CITY, IA 51449-1604
(712) 464-3149
(712) 464-3148
Mailing address
112 W MAIN ST, LAKE CITY, IA 51449-1604
(712) 464-3149
(712) 464-3148

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4552
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0129130
IA
01
12913
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/19/2005
Last updated
10/02/2007
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