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Individual

KATHARINE W. SCHENCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13133 N PORT WASHINGTON RD, SUITE 104, MEQUON, WI 53097-2419
(262) 243-5044
(262) 243-2510
Mailing address
788 N. JEFFERSON STREET, SUITE 300, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 272-0859

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2424
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093944308
WI
Enumeration date
07/08/2009
Last updated
11/09/2016
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