Individual
LEILA SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 575, MILWAUKEE, WI 53215-5200
(414) 649-3240
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1873-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1873-023
LICENSE NUMBER
WI
05
—
42872200
—
WI
Enumeration date
07/21/2005
Last updated
08/19/2024
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