Provider Demographics
NPI:1508146267
Name:SCHOLLE, MAX DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:DENNIS
Last Name:SCHOLLE
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:PO BOX 10100
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-0008
Mailing Address - Country:US
Mailing Address - Phone:970-872-1400
Mailing Address - Fax:970-399-2737
Practice Address - Street 1:230 HOTCHKISS AVE
Practice Address - Street 2:
Practice Address - City:HOTCHKISS
Practice Address - State:CO
Practice Address - Zip Code:81419-7608
Practice Address - Country:US
Practice Address - Phone:970-872-1400
Practice Address - Fax:970-399-2737
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29396207Q00000X
MDP26746208600000X
CODR.0065134207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery