MEDICARE: MIRIAM SCHECHTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	28072-020	WI

General Provider Information

NPI Number	:	1093811317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM SCHECHTER M.D.

Provider Business Mailing Address
First Line	:	2600 N MAYFAIR RD
Second Line	:	SUITE 305
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-1309
Country	:	US
Telephone Number	:	414-257-0233
Fax Number	:	414-257-3588

Provider Business Practice Location Address
First Line	:	2600 N MAYFAIR RD
Second Line	:	SUITE 305
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-1309
Country	:	US
Telephone Number	:	414-257-0233
Fax Number	:	414-257-3588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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Directions to “ MIRIAM SCHECHTER M.D.” Practice Location

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