Organization Active NPI

Peter B Wollschlaeger Medical PLLC

  • Family Medicine Physician
  • Haslett, MI
National Provider Identifier
1831592690
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068371 Issued in MI
Legal business name
PETER B WOLLSCHLAEGER MEDICAL PLLC
Practice address
1380 Haslett Rd
Suite 17
Haslett, MI 48840-7623
Phone
(517) 381-1526
Fax
(517) 381-1632
NPI assigned
Oct 7, 2014
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter B Wollschlaeger, MD
Title
Owner
Phone
(517) 381-1526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301068371 MI Primary

Addresses

Primary practice location

1380 Haslett Rd
Suite 17
Haslett, MI 48840-7623

Mailing address

PO Box 488
Haslett, MI 48840-0488
Phone (517) 381-1526

National Provider Directory

National Provider Directory

Locations

1380 Haslett Rd
#17
Haslett, MI 48840
Phone (517) 381-1526

1380 Haslett Rd
Ste 17
Haslett, MI 48840
Phone (517) 381-1526

2037 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-3210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1831592690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488400488",
            "telephone_number": "517-381-1526",
            "fax_number": "517-381-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HASLETT RD",
            "address_2": "SUITE 17",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407623",
            "telephone_number": "517-381-1526",
            "fax_number": "517-381-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B WOLLSCHLAEGER MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WOLLSCHLAEGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-381-1526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.