Healthcare Provider Details

I. General information

NPI: 1467568428
Provider Name (Legal Business Name): DONNA L. SCHOENFELDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. DONNA L. JACKSON

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3213 STEIN BLVD
EAU CLAIRE WI
54701-6946
US

IV. Provider business mailing address

719 W HAMILTON AVE STE B
EAU CLAIRE WI
54701-6970
US

V. Phone/Fax

Practice location:
  • Phone: 715-836-9242
  • Fax: 715-836-7847
Mailing address:
  • Phone: 715-552-9784
  • Fax: 715-834-9833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number33322-020
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number33322-020
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number33322-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: