Individual
MR. GEORGE R. SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 S UNIVERSITY AVE STE 510, BEAVER DAM, WI 53916-3081
(920) 887-3102
(920) 885-8788
Mailing address
705 S UNIVERSITY AVE STE 510, BEAVER DAM, WI 53916-3081
(920) 887-3102
(920) 885-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18465
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31210900
—
WI
01
—
61114
DEAN HEALTH PLAN
WI
Enumeration date
06/07/2006
Last updated
01/14/2011
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