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Individual

DR. JOHN W SCHOONENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1801 W. WISCONSIN AVE, MILWAUKEE, WI 53201-1881
(414) 288-7155
Mailing address
1801 W. WISCONSIN AVE, MILWAUKEE, WI 53201-1881
(414) 288-7155

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
461G
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223S0112X
PROVIDER TAXONOMY
WI
05
33360600
WI
Enumeration date
08/10/2006
Last updated
07/08/2007
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