Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC007108 | PA |
NPI | 1033748512 |
---|---|
Provider Name | Scott David Schleunes |
First Address | Manitowoc, WI 54220-1823 |
Second Address | Pittsburgh, PA 15212-4772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2020 |
Last Update Date | 29/06/2020 |