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Individual

ANGELA SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8760-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100392395
KY
Enumeration date
05/11/2024
Last updated
01/09/2026
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