Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 60925 | WI |
N | 208600000X | Surgeon | 60925 | WI |
Y | 2086S0120X | Pediatric Surgery | 60925 | WI |
NPI | 1164643052 |
---|---|
Provider Name | Dr. John Gregory Schneider |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 13/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164643052 | (05) | WI |