Provider Demographics
NPI:1700698438
Name:OLIGSCHLAEGER, GARRETT PAUL (PA-C)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:PAUL
Last Name:OLIGSCHLAEGER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1211 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201
Mailing Address - Country:US
Mailing Address - Phone:573-441-5107
Mailing Address - Fax:
Practice Address - Street 1:1125 S ALMA SCHOOL RD STE 210
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-2811
Practice Address - Country:US
Practice Address - Phone:480-684-6157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant