Individual
MR. CRAIG SCHUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150766-30
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
150766
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235782475
—
WI
Enumeration date
07/17/2019
Last updated
09/25/2019
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