Provider Demographics
NPI:1316107436
Name:SCHLERNITZAUER, DONALD ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALLEN
Last Name:SCHLERNITZAUER
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 1:6633 HARTLAUB LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-9219
Mailing Address - Country:US
Mailing Address - Phone:920-758-2197
Mailing Address - Fax:
Practice Address - Street 1:6633 HARTLAUB LAKE RD
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-9219
Practice Address - Country:US
Practice Address - Phone:920-758-2197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21836-020207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology