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Individual
MRS. SHANNON LEAH SCHMIDT
Active
Individual
MRS. SHANNON LEAH SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55748
WI
207RH0003X
Hematology & Oncology Physician
Primary
55748
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K400321103
MEDICARE PTAN
WI
01
—
K400321104
MEDICARE PTAN
WI
01
—
K400321105
MEDICARE PTAN
WI
Enumeration date
03/31/2009
Last updated
09/01/2016
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