Provider Demographics
NPI:1164762720
Name:SCHOENIKE, KAREN E M
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E M
Last Name:SCHOENIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:SCHOENIKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2860 COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-9175
Mailing Address - Country:US
Mailing Address - Phone:608-358-3405
Mailing Address - Fax:
Practice Address - Street 1:2860 COUNTRY DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-9175
Practice Address - Country:US
Practice Address - Phone:608-358-3405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4662015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist