Provider Demographics
NPI:1619947892
Name:SCHILD, HARRIS S (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:S
Last Name:SCHILD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:703 TYLER ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3367
Mailing Address - Country:US
Mailing Address - Phone:419-626-8181
Mailing Address - Fax:419-626-8621
Practice Address - Street 1:703 TYLER ST
Practice Address - Street 2:SUITE 120
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3367
Practice Address - Country:US
Practice Address - Phone:419-626-8181
Practice Address - Fax:419-626-8621
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35066277207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0966405Medicaid
F75257Medicare UPIN
0756532Medicare ID - Type Unspecified