Individual
BENJAMIN SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N2822 HWY 107, MERRILL, WI 54452-8788
(920) 265-1626
Mailing address
N2822 HWY 107, MERRILL, WI 54452-8788
(920) 265-1626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2195-19
WI
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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