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NPI Code Detail

MEDICARE: MISS BETH ELLEN SCHROTH-SEILER P.A.-C.

MEDICARE: MISS BETH ELLEN SCHROTH-SEILER P.A.-C.
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
1363A00000XPhysician AssistantPA04178TX
2363A00000XPhysician Assistant2060-023WI

General Provider Information

NPI Number : 1184714446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BETH ELLEN SCHROTH-SEILER P.A.-C.
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-683-5278
Fax Number : 920-686-9674
Provider Business Practice Location Address
First Line : 2806 RIVERVIEW DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-6717
Country : US
Telephone Number : 920-498-7546
Fax Number : 920-569-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 02/23/2021

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Directions to “ MISS BETH ELLEN SCHROTH-SEILER P.A.-C.” Practice Location

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