Individual
MIRANDA M SCHOENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 392-9711
Mailing address
1224 E 1ST ST, APT 1224C, DULUTH, MN 55805-2444
(651) 343-6265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2406-023
WI
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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