DR. Annaliese Marie Koller Shumate, D.O. is a general practice in Wauwatosa, WI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Annaliese Marie Koller Shumate, D.O. NPI is 1174812499. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1155 N MAYFAIR RD
3RD FLOOR, DEPARTMENT OF PSYCHIATRY
WAUWATOSA, WI
ZIP 53226-462
Phone: (414) 955-8990
The NPI 1174812499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/7/2011 and was last updated on 10/17/2013.