Healthcare Provider Details

I. General information

NPI: 1336190156
Provider Name (Legal Business Name): DEBRA K. SCHUSTER M.D. F.A.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 CRANBERRY BLVD
WESTON WI
54476-5216
US

IV. Provider business mailing address

1014 COUNTRY CLUB RD
SCHOFIELD WI
54476-1827
US

V. Phone/Fax

Practice location:
  • Phone: 715-393-2513
  • Fax: 715-393-2655
Mailing address:
  • Phone: 715-298-0998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number26762-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: