Individual
MRS. JULIE M. SCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 994-9700
Mailing address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 994-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6092024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080125
MEDICARE GROUP PROVIDER
WI
Enumeration date
05/20/2008
Last updated
05/20/2008
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