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NPI Code Detail

MEDICARE: DR. MOIRA FERRIER SCHIEKE M.D.

MEDICARE: DR. MOIRA FERRIER SCHIEKE 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
12085R0202XDiagnostic Radiology Physician76791TN
22085R0202XDiagnostic Radiology Physician60017-20WI
32085R0202XDiagnostic Radiology Physician036139448IL

General Provider Information

NPI Number : 1245538636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOIRA FERRIER SCHIEKE M.D.
Provider Business Mailing Address
First Line : 2542 N TERRACE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-3820
Country : US
Telephone Number : 215-292-8694
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 02/05/2026

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