Provider Demographics
NPI:1548237241
Name:SCHOENECKER, ERIN M (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:SCHOENECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:EVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5801 RESEARCH PARK BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-6002
Mailing Address - Country:US
Mailing Address - Phone:608-729-6300
Mailing Address - Fax:608-729-1099
Practice Address - Street 1:5801 RESEARCH PARK BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-6002
Practice Address - Country:US
Practice Address - Phone:608-729-6300
Practice Address - Fax:608-729-1099
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48196207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34687200Medicaid
WI34687200Medicaid
139474Medicare UPIN