Organization
KENNETH L. SCHAUFELBERGER, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L. SCHAUFELBERGER M.D. (PRESIDENT)
(920) 731-3311
Entity
Organization
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 731-3311
(920) 731-7133
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 731-3311
(920) 731-7133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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