Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 34282 | WI |
NPI | 1578539227 |
---|---|
Provider Name | Mary K Schroth |
First Address | Verona, WI 53593-7936 |
Second Address | Verona, WI 53593-7936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 27/04/2018 |