Individual
KIMBERLY M SCHAULAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7000
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 965-4055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004245
—
IN
Enumeration date
06/15/2017
Last updated
11/15/2022
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