Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 38977-020 | WI |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 4301500829 | MI |
NPI | 1427081637 |
---|---|
Provider Name | Dr. Patricia Anne Schick |
First Address | Green Bay, WI 54305-2487 |
Second Address | De Pere, WI 54115-7977 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 07/02/2020 |