Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 50116 | WI |
N | 207SG0201X | Clinical Genetics (M.D.) | 50116 | WI |
Y | 208000000X | Pediatrician | 50116 | WI |
NPI | 1275590572 |
---|---|
Provider Name | Jessica A. Scott Schwoerer |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1275590572 | (05) | WI |