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Kenneth L. Schaufelberger, M.D., S.C.

Specialist in Appleton, WI. Organization (NPI-2).

NPI number1144570870
StatusActive
Last updated in NPPESSep 10, 2012

Details

NPI
1144570870
Entity type
Organization (NPI-2)
Legal business name
Kenneth L. Schaufelberger, M.D., S.C.
Organization subpart
No
Enumeration date
Sep 10, 2012
Last updated
Sep 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

2105 E Enterprise Ave
Appleton, WI 54913-7862

Phone 920-731-3311 · Fax 920-731-7133

Mailing address

2105 E Enterprise Ave
Appleton, WI 54913-7862

Phone 920-731-3311 · Fax 920-731-7133

Authorized official

Kenneth L. Schaufelberger
President
9207313311

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