Individual
DEBRA SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 MADISON AVE SUITE C50, MEMPHIS, TN 38163-3703
(414) 232-0760
Mailing address
PO BOX 511776, MILWAUKEE, WI 53203-0301
(414) 232-0760
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
60413
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NONE
—
05
—
1029866880002
—
PA
05
—
1437350899
—
VA
05
—
201413360
—
IN
05
—
7100549830
—
KY
Enumeration date
05/31/2007
Last updated
04/19/2023
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