Individual
MICHAEL SUTTON SCHILAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
201 RACINE DR, WILMINGTON, NC 28403-8702
(910) 395-6050
Mailing address
818B PINE GROVE DR, WILMINGTON, NC 28409-5600
(910) 793-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0932P
BCBS
NC
05
—
5916303
—
NC
Enumeration date
09/20/2010
Last updated
03/17/2018
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