Healthcare Provider Details

I. General information

NPI: 1396925616
Provider Name (Legal Business Name): PETER SCHNAPP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8923 W BROWN DEER RD
MILWAUKEE WI
53224-2120
US

IV. Provider business mailing address

5080 SPECTRUM DR SUITE 1200 WEST
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 414-355-4300
  • Fax:
Mailing address:
  • Phone: 800-232-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number31820-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: