Individual
HEIDI M SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1254-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS
WI
05
—
41922300
—
WI
01
—
430688874016
TRICARE PROV #
WI
01
—
70
DEANCARE PROV #
WI
Enumeration date
04/13/2006
Last updated
08/23/2016
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