Individual
MR. JOHN R SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1425 MEMORIAL DR, MANITOWOC, WI 54221-0400
(920) 683-9500
(920) 683-9588
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6971-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39790400
—
WI
Enumeration date
08/24/2006
Last updated
12/08/2021
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