Individual
MARY E SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5452 COUNTY ROAD TT, STURGEON BAY, WI 54235-9167
(920) 743-4646
Mailing address
5452 COUNTY ROAD TT, STURGEON BAY, WI 54235-9167
(920) 743-4646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129520-030
WI
Other
Enumeration date
12/06/2009
Last updated
12/06/2009
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