Healthcare Provider Details

I. General information

NPI: 1194758045
Provider Name (Legal Business Name): CARL J. SCHULER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 ROOSEVELT TRL SUITE 206
WINDHAM ME
04062-5282
US

IV. Provider business mailing address

744 ROOSEVELT TRL SUITE 206
WINDHAM ME
04062-5282
US

V. Phone/Fax

Practice location:
  • Phone: 207-892-7006
  • Fax: 207-892-2092
Mailing address:
  • Phone: 207-892-7006
  • Fax: 207-892-2092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number1133DO
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1133
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: