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NPI Code Detail

MEDICARE: JACK R SCHERER M.D.

MEDICARE: JACK R SCHERER 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
1207N00000XDermatology Physician01023422IN

General Provider Information

NPI Number : 1356348122
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK R SCHERER M.D.
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-663-9008
Fax Number : 920-684-1439
Provider Business Practice Location Address
First Line : 955 N MICHIGAN AVE STE 81
Second Line :
City : GREENSBURG
State : IN
Zip : 47240-1487
Country : US
Telephone Number : 812-222-0202
Fax Number : 812-222-0204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/16/2025

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Directions to “ JACK R SCHERER M.D.” Practice Location

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