Healthcare Provider Details

I. General information

NPI: 1619929189
Provider Name (Legal Business Name): ROSE L. SCHNEIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N OAK AVE MARSHFIELD CLINIC PEDIATRICS
MARSHFIELD WI
54449-5703
US

IV. Provider business mailing address

1000 N OAK AVE MARSHFIELD CLINIC PEDIATRICS
MARSHFIELD WI
54449-5703
US

V. Phone/Fax

Practice location:
  • Phone: 715-387-5511
  • Fax: 715-389-3066
Mailing address:
  • Phone: 715-387-5511
  • Fax: 715-389-3066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberL7165
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberNM2014-0658
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: