Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301111582 | MI |
Y | 207X00000X | Orthopaedic Surgeon | 69161 | WI |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 69161 | WI |
NPI | 1205101664 |
---|---|
Provider Name | Shawn E Schoch |
First Address | Summit, WI 53066-4899 |
Second Address | Summit, WI 53066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100080746 | (05) | WI |