Individual
AMANDA SCHMIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1006 MADISON ST, MERRILL, WI 54452-3030
(715) 536-2474
Mailing address
1006 MADISON ST, MERRILL, WI 54452-3030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161746030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3506930
—
WI
Enumeration date
09/11/2008
Last updated
09/11/2008
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