Individual
TINA M SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1510 FREMONT ST, ALGOMA, WI 54201-1948
(920) 487-3676
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1679
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679-023
LICENSE
WI
Enumeration date
12/09/2005
Last updated
04/16/2013
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