Individual
LAURA K SCHMID-TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1334
MN
363A00000X
Physician Assistant
Primary
2702
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BXBS
MN
05
—
PENDING
—
MN
Enumeration date
12/16/2005
Last updated
11/30/2010
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