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NPI Code Detail

MEDICARE: KATHERINE SCHULLER

MEDICARE:   KATHERINE  SCHULLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerS4605019578804WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932598497
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SCHULLER
Provider Business Mailing Address
First Line : 3465 N OAKLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-2824
Country : US
Telephone Number : 414-315-2239
Fax Number :
Provider Business Practice Location Address
First Line : 3465 N OAKLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-2824
Country : US
Telephone Number : 414-315-2239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2015
Last Update Date : 01/21/2015

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Directions to “ KATHERINE SCHULLER ” Practice Location

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