Individual
RICHARD B SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8614
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
43111
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34623800
—
WI
Enumeration date
11/16/2005
Last updated
11/18/2020
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