| Doctor Name: | MRS. SANDRA SCHWOERER |
| NPI Number: | 1285030957 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP |
| License Number: | 6112-33 |
| Business Practice Address: | 620 W Brown St Waupun, WI - 539631702 |
| Business Phone Number: | 9203246846 |
| Business Fax Number: | 9203246844 |
| Mailing Address: | 620 W Brown St, WAUPUN |
| State: | WI |
| Postal Code: | 539631702 |
| Phone Number: | 9203246846 |
| Fax Number: | 9203246844 |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6112-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |