Provider Demographics
NPI:1578762027
Name:SCHLEICH, ARNO R (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNO
Middle Name:R
Last Name:SCHLEICH
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 1:348 CROSSGATES BLVD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-2700
Mailing Address - Country:US
Mailing Address - Phone:601-824-1492
Mailing Address - Fax:206-350-8184
Practice Address - Street 1:348 CROSSGATES BLVD
Practice Address - Street 2:SUITE 1200
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-2700
Practice Address - Country:US
Practice Address - Phone:601-824-1492
Practice Address - Fax:206-350-8184
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-15
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS200232086S0105X, 208200000X, 2082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS512I240022OtherMEDICARE
MS02251791Medicaid