Healthcare Provider Details

I. General information

NPI: 1033041702
Provider Name (Legal Business Name): MADISON SCHULZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N SALES ST
MERRILL WI
54452-3169
US

IV. Provider business mailing address

W6155 COUNTY ROAD Z
MERRILL WI
54452-9752
US

V. Phone/Fax

Practice location:
  • Phone: 715-536-4581
  • Fax:
Mailing address:
  • Phone: 715-218-4771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001465769
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: