Organization
MICHAEL A SCHELLPFEFFER MD OB GYN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SCHELLPFEFFER MD (PHYSICIAN OWNER)
(262) 658-2133
Entity
Organization
Contact information
Practice address
1400 75TH STREET, KENOSHA, WI 53143
(262) 658-2133
(262) 658-2699
Mailing address
1400 75TH ST, SUITE #1, KENOSHA, WI 53143
(262) 658-2133
(262) 658-2699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25699020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004016521
AETNA
WI
01
—
164210535932
HUMANA
WI
05
—
30599600
—
WI
01
—
3411471180002
CIGNA
WI
01
—
398443880006
BC COMPCARE
WI
01
—
71G2000W15143
MICHIGAN BC
WI
Enumeration date
12/14/2006
Last updated
08/22/2020
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