Provider Demographics
NPI:1851328272
Name:OEHLENSCHLAGER, WILLIAM FREDRICK (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDRICK
Last Name:OEHLENSCHLAGER
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1650
Mailing Address - Country:US
Mailing Address - Phone:330-730-0329
Mailing Address - Fax:
Practice Address - Street 1:1225 HIGH ST
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9421
Practice Address - Country:US
Practice Address - Phone:330-335-7337
Practice Address - Fax:330-334-8309
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067816208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0262086Medicaid