Healthcare Provider Details

I. General information

NPI: 1063995553
Provider Name (Legal Business Name): KATHERINE A SCHULER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 W MAIN ST
SUN PRAIRIE WI
53590-1930
US

IV. Provider business mailing address

1270 W MAIN ST
SUN PRAIRIE WI
53590-1930
US

V. Phone/Fax

Practice location:
  • Phone: 608-443-5482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1001936
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: