Basic Information
Provider Information
NPI: 1982800991
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLICHTING
FirstName: ADAM
MiddleName: BRADFORD
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2900 W OKLAHOMA AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532154330
CountryCode: US
TelephoneNumber: 4146496000
FaxNumber:  
Practice Location
Address1: 2900 W OKLAHOMA AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532154330
CountryCode: US
TelephoneNumber: 4146496000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2007
LastUpdateDate: 07/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X65616-20WIY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207P00000X65616-20WIN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X4301089947MIN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X41049IAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207R00000X41049IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X4301089947MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X41049IAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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