Individual
SANDRA ELAINE SCHENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N8980 PAGEL RD, IOLA, WI 54945-9766
(715) 445-2678
Mailing address
N8980 PAGEL RD, IOLA, WI 54945-9766
(715) 445-2678
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32203 031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38237300
—
WI
Enumeration date
04/14/2006
Last updated
07/09/2007
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