Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01071170A | IN |
N | 208000000X | Pediatrician | 125051613 | IL |
Y | 2080P0204X | Pediatric Emergency Doctor | 52927 | WI |
NPI | 1306007489 |
---|---|
Provider Name | Ryan Joseph Scheper |
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 | 20/06/2008 |
Last Update Date | 18/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306007489 | (05) | WI |
201067150 | (05) | IN |