Healthcare Provider Details

I. General information

NPI: 1326746686
Provider Name (Legal Business Name): JULIAN B SCHUENKE DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE WI
53215-3696
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-385-8780
  • Fax: 414-385-8781
Mailing address:
  • Phone: 414-385-8780
  • Fax: 414-385-8781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13590
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: