Individual
DAVID L. SCHIEDERMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-2738
(920) 729-3023
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24614
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
24614
WI
208M00000X
Hospitalist Physician
24614-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30599500
—
WI
01
—
711290024
MEDICARE PTAN
WI
Enumeration date
02/13/2006
Last updated
08/12/2015
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