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1457603276
KELLY M SCHAEFER
GREEN BAY, WI
NPI
1457603276
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Former Name
KELLY M WILDENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3031)
Enumeration Date
2012-10-03
Last Update Date
2022-02-09
Business Address
KELLY M SCHAEFER PAC
1630 COMMANCHE AVE STE 102
GREEN BAY, WI 54313-5753
Phone number: 920-433-6000
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Mailing Address
KELLY M SCHAEFER PAC
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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