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1093284861
ETHAN SCHAEFER
MILWAUKEE, WI
NPI
1093284861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: WI 129)
Enumeration Date
2018-11-21
Last Update Date
2019-02-05
Business Address
ETHAN SCHAEFER
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone number: 414-805-8700
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Mailing Address
ETHAN SCHAEFER
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-8700
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