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General NPI Number Information
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NPI Number | 1205101664
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Entity Type | Individual
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Provider Name | SHAWN E SCHOCH MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 36500 AURORA DR
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City | SUMMIT
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State | WI
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Zip | 53066
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Country | US
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Telephone | 262-434-1000
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Fax | 262-434-5889
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Provider Business Mailing Address
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Address Line | 36500 AURORA DR
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City | SUMMIT
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State | WI
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Zip | 53066-4899
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Country | US
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Telephone | 262-434-1000
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Fax | 262-434-5889
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 69161
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301111582
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 69161
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License Number State | WI
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