Organization
RANDALL SCHMIDT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL SCHMIDT MD (OWNER)
(262) 767-8069
Entity
Organization
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Mailing address
PO BOX 311, PEWAUKEE, WI 53072-0311
(262) 544-4442
(262) 544-4433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610900
—
WI
01
—
556949
DEAN CARE
WI
05
—
MD351WI
—
AK
Enumeration date
08/07/2008
Last updated
08/12/2008
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