Individual
DEBRA SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 LOVERS LN, BRUSSELS, WI 54204-9629
(920) 493-3670
Mailing address
9801 LOVERS LN, BRUSSELS, WI 54204-9629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26665-031
WI
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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