Individual
JO ELLEN SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 ROSS AVE STE 14, SCHOFIELD, WI 54476-6104
(715) 359-8725
Mailing address
4202 MOUNTAIN LN, WAUSAU, WI 54401-8500
(715) 848-8748
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
740-033
WI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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