Individual
MARY LYNN SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47679020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942399480
—
WI
Enumeration date
10/12/2006
Last updated
12/08/2025
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