Individual
JEAN HARRIET SCHOTT-WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2209 SOUTH MEMORIAL PLACE, SHEBOYGAN, WI 53081
(920) 459-8811
(920) 459-9871
Mailing address
2209 SOUTH MEMORIAL PLACE, SHEBOYGAN, WI 53081
(920) 459-8811
(920) 459-9871
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24256
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30427600
—
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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