| Dale L Schlais, MD | |
|
1420 Algoma St, New London, WI 54961-2104 | |
| (920) 982-8300 | |
| Not Available |
| Full Name | Dale L Schlais |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1420 Algoma St, New London, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508851403 | NPI | - | NPPES |
| 31408200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23865 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale L Schlais, MD 1420 Algoma St, New London, WI 54961-2104 Ph: (920) 982-8300 | Dale L Schlais, MD 1420 Algoma St, New London, WI 54961-2104 Ph: (920) 982-8300 |
Donn Fuhrmann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Karly Lynn Johannsen, Family Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2404 | |
Timothy Houlihan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Renae Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Reginald A Ebirim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Felix Jolly Odathil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2450 |