Individual
MR. NATHAN J SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 N MAIN ST, FOND DU LAC, WI 54935-3462
(920) 921-5264
Mailing address
W3586 HILLSIDE CIR, MALONE, WI 53049-1606
(920) 251-3203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15624-40
WI
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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