Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD460803 | PA |
N | 207ND0900X | Dermatopathologist | MD460803 | PA |
NPI | 1497191340 |
---|---|
Provider Name | Christine Schleich |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-8029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 26/08/2020 |