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Individual

JONATHAN DONALD SCHMITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS CCC SLP

Contact information

Practice address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 233-2067
(715) 233-2068
Mailing address
2311 SILVERMINE DR, EAU CLAIRE, WI 54703
(715) 579-6154

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2394 154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42575200
WI
Enumeration date
06/13/2007
Last updated
01/27/2009
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