Individual
PETER W. SCHILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-1398
(308) 632-7830
Mailing address
PO BOX 1886, SCOTTSBLUFF, NE 69361-1886
(308) 630-1398
(308) 632-7830
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
038604
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21583
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4853
SD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6567A
WY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD-058986-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35219
BC/BS
NE
01
—
4853
DAKOTACARE
SD
05
—
7704450
—
SD
Enumeration date
07/26/2006
Last updated
11/16/2007
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