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Individual

DR. DONALD J SCHNEEKLOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
797 WINNECONNE AVE, NEENAH, WI 54956-3177
(920) 722-0842
(920) 722-6174
Mailing address
797 WINNECONNE AVE, NEENAH, WI 54956-3177
(920) 722-0842
(920) 722-6174

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
551
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
391556068
TAX ID #
WI
01
391556068012
BCBS BILLING NUMBER
WI
05
43211200
WI
Enumeration date
07/18/2005
Last updated
12/12/2007
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