Basic Information
Provider Information
NPI: 1861512766
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLAGEL
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4400 W 69TH ST STE 1500
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571088171
CountryCode: US
TelephoneNumber: 6053225700
FaxNumber:  
Practice Location
Address1: 4400 W 69TH ST STE 1500
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571088171
CountryCode: US
TelephoneNumber: 6053225700
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X53776WIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X4301079677MIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X10467SDY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home