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Individual

MS. SUSAN MARIE SCHMITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
N16W26534 WILD OATS DR UNIT A, PEWAUKEE, WI 53072-6606
(262) 695-6970
Mailing address
8117 S 59TH ST, FRANKLIN, WI 53132-9235
(414) 940-0405

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26657-31
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3091620
WI
05
3192672
WI
Enumeration date
05/22/2008
Last updated
05/22/2008
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