Individual provider · Type 1 NPI
Michael Gerard Schiedler, MD
Vascular Surgery Physician · Lake Oswego, OR
NPI number
1164528600
Active
Practice location
1380 Bonniebrae Dr
Lake Oswego, OR 97034-1656
Mailing address
680 Centre St
Brockton, MA 02302-3308
Other practice locations
- 680 Centre St, Brockton, MA 02302-3308 · (508) 941-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 11811 (SD) |
| Vascular Surgery Physician | 2086S0129X | 48131 (MA) |
| Specialist | 174400000X | MD00038618 (WA) |
| Specialist | 174400000X | MD14949 (OR) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1164528600
Michael Gerard Schiedler, MD's National Provider Identifier is 1164528600, issued on Sep 15, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 1, 2021.