MEDICARE: JOAN M SCHNABEL MD

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	207Q00000X	Family Medicine Physician	27373	MN

General Provider Information

NPI Number	:	1841200557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN M SCHNABEL MD

Provider Business Mailing Address
First Line	:	PO BOX 5
Second Line	:	66 LIBERTY ST
City	:	FOUNTAIN CITY
State	:	WI
Zip	:	54629-0005
Country	:	US
Telephone Number	:	608-687-8486
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 LIBERTY ST
Second Line	:
City	:	FOUNTAIN CITY
State	:	WI
Zip	:	54629-0005
Country	:	US
Telephone Number	:	608-687-8486
Fax Number	:

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

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

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