Doctor Name: | DR. THERESA LYNN SCHINKE |
NPI Number: | 1043210594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 902-025 |
Business Practice Address: | 1301 E Northland Ave Ste B Appleton, WI - 549118426 |
Business Phone Number: | 9207311999 |
Business Fax Number: | 9207313729 |
Mailing Address: | 1301 E Northland Ave, Ste B APPLETON |
State: | WI |
Postal Code: | 549118426 |
Phone Number: | 9207311999 |
Fax Number: | 9207313729 |
NPI Enumeration Date: | 07/27/2005 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 902-025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |