Individual
MRS. SHAYLA JO TSCHAKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
202 ARBOR CT, OMAHA, NE 68108-1727
(612) 281-4606
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 395-5393
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1009
MN
363A00000X
Physician Assistant
117713
IA
363A00000X
Physician Assistant
2857
NE
Other
Enumeration date
08/29/2022
Last updated
04/25/2024
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