# RANDALL SCHMIDT MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851547095
- **Authorized official:** DR. RANDALL SCHMIDT MD (OWNER)
- **Authorized official phone:** (262) 767-8069

## Contact information

- **Practice address:** 1701 SHARP RD, WATERFORD, WI 53185-5214
- **Practice address phone:** (262) 534-7297
- **Practice address fax:** (262) 534-7257
- **Mailing address:** PO BOX 311, PEWAUKEE, WI 53072-0311
- **Mailing address phone:** (262) 544-4442
- **Mailing address fax:** (262) 544-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | WI | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 08/12/2008