Provider Demographics
NPI:1033662283
Name:SCHISLER, JODIE
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:SCHISLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3447 BAY HARBOR POINT DR
Mailing Address - Street 2:317
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-1976
Mailing Address - Country:US
Mailing Address - Phone:989-450-2186
Mailing Address - Fax:
Practice Address - Street 1:3447 BAY HARBOR POINT DR
Practice Address - Street 2:317
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-1976
Practice Address - Country:US
Practice Address - Phone:989-450-2186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-24
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other