Provider Demographics
NPI:1437149929
Name:SCHLOEGEL, DANIEL ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALLAN
Last Name:SCHLOEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 UNION BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1810
Mailing Address - Country:US
Mailing Address - Phone:303-936-7415
Mailing Address - Fax:303-936-2177
Practice Address - Street 1:255 UNION BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1810
Practice Address - Country:US
Practice Address - Phone:303-936-7415
Practice Address - Fax:303-936-2177
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD23915208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181858Medicaid
CO20382243Medicaid