Individual
DR. DARRELL E SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 E TIMBER DR, RHINELANDER, WI 54501
(715) 365-1777
(715) 365-1779
Mailing address
550 E TIMBER DR, RHINELANDER, WI 54501
(715) 365-1777
(715) 365-1779
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1155G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253544
TAX ID NUMBER
WI
01
—
621419
SUTA PROVIDER NUMBER
WI
Enumeration date
09/07/2006
Last updated
07/08/2007
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