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Individual

MRS. REBECCA LYNN SCHMITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121280-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598916199
MEDICARE RAILROAD
WI
05
1598916199
WI
Enumeration date
10/02/2008
Last updated
11/18/2011
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