Individual
JACLYN M SCHECHINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 524-3331
Mailing address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 524-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10030
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053383232
—
WI
05
—
544100500
—
MN
Enumeration date
02/02/2006
Last updated
05/25/2010
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