Individual provider · Type 1 NPI
Marissa L. Schiedermayer, PA-C
Surgical Physician Assistant · Green Bay, WI
NPI number
1689167942
Active
Practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 4397-23 (WI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1689167942
Marissa L. Schiedermayer, PA-C's National Provider Identifier is 1689167942, issued on Jun 12, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Green Bay, WI. The record was last updated on Mar 16, 2023.