Provider Demographics
NPI:1487707113
Name:SCHILLINGER, ERNEST A (DO)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:A
Last Name:SCHILLINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 MILLECOQUINS COURT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6032
Mailing Address - Country:US
Mailing Address - Phone:248-651-5557
Mailing Address - Fax:248-651-5557
Practice Address - Street 1:1516 MILLECOQUINS COURT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-6032
Practice Address - Country:US
Practice Address - Phone:248-651-5557
Practice Address - Fax:248-651-5557
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101004398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E25831Medicare UPIN
963166Medicare ID - Type Unspecified