Individual
GARY A SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 682-9378
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-4500
(920) 682-9378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21523
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
21523
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001598644 02
UNITED HEALTH
WI
01
—
080125211
MEDICARE RAILROAD
WI
01
—
12521
NETWORK HEALTH PLAN
WI
01
—
21523
TOUCHPOINT
WI
05
—
30174800
—
WI
01
—
390806395
CHAMPUS
WI
01
—
39080639508
TRICARE
WI
01
—
B56376
CIGNA
WI
Enumeration date
08/21/2006
Last updated
05/29/2008
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