Healthcare Provider Details

I. General information

NPI: 1649291543
Provider Name (Legal Business Name): JAMES L SCHULGIT MD FACC SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 W KINNICKINNIC RIVER PKWY STE 103
MILWAUKEE WI
53215-3621
US

IV. Provider business mailing address

2901 W KINNICKINNIC RIVER PKWY STE 103
MILWAUKEE WI
53215-3621
US

V. Phone/Fax

Practice location:
  • Phone: 414-649-3610
  • Fax:
Mailing address:
  • Phone: 414-649-3610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES L SCHULGIT
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 414-649-3610