Provider Demographics
NPI:1447229315
Name:MISHLER, WILLIAM GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GEORGE
Last Name:MISHLER
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 1:641 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1607
Mailing Address - Country:US
Mailing Address - Phone:775-329-0888
Mailing Address - Fax:775-329-0934
Practice Address - Street 1:641 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1607
Practice Address - Country:US
Practice Address - Phone:775-329-0888
Practice Address - Fax:775-329-0934
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV3920174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016327Medicaid
NV002016327Medicaid