Provider Demographics
NPI:1275640872
Name:SAULNIER SHOLLER, GISELLE LINDA (MD)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:LINDA
Last Name:SAULNIER SHOLLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:MC CA 410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-5208
Mailing Address - Fax:717-531-0119
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-6012
Practice Address - Fax:717-531-4789
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-022362080P0207X
PAMD4824952080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I37051Medicare UPIN
SAVN3768Medicare ID - Type Unspecified
MI4301098170OtherMI PHYSICIAN'S LICENSE NUMBER
NY02694168Medicaid
VT1011497Medicaid