Individual
CHELCI S SCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
305 ELAINES CT, DODGEVILLE, WI 53533-2103
(608) 930-4362
(608) 930-4366
Mailing address
305 ELAINES CT, DODGEVILLE, WI 53533-2103
(608) 930-4362
(608) 930-4366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3503-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720571698
—
WI
Enumeration date
06/14/2018
Last updated
12/21/2021
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