Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4666 | WI |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 4666-33 | WI |
NPI | 1003183880 |
---|---|
Provider Name | Dawn M Schaefer |
First Address | Milwaukee, WI 53223-5426 |
Second Address | Minnetonka, MN 55343-9664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2011 |
Last Update Date | 03/07/2020 |