Individual
MR. BRIAN JAMES SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
633 SUSIE ST, DELAVAN, WI 53115-2245
(262) 728-3782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10008-40
WI
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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