Individual
DR. STEPHEN R SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7899
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7899
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01028683A
IN
207Q00000X
Family Medicine Physician
Primary
22268
WI
207Q00000X
Family Medicine Physician
27083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001056125
MEDICARE ID
WI
05
—
30374800
—
WI
Enumeration date
02/07/2006
Last updated
10/22/2009
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