Individual
MR. JORDAN MARK SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
524 PENNSYLVANIA AVE, WEST BEND, WI 53095-4138
(262) 573-2044
Mailing address
524 PENNSYLVANIA AVE, WEST BEND, WI 53095-4138
(262) 573-2044
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
193953-30
WI
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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