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General NPI Number Information
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NPI Number | 1346655198
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Entity Type | Individual
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Provider Name | MICHAEL SCHMALZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2801 W KINNICKINNIC RIVER PKWY STE 1080
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City | MILWAUKEE
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State | WI
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Zip | 53215-3689
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Country | US
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Telephone | 414-908-6500
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Fax | 414-908-6565
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Provider Business Mailing Address
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Address Line | 2801 W KINNICKINNIC RIVER PKWY STE 1080
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City | MILWAUKEE
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State | WI
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Zip | 53215-3689
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Country | US
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Telephone | 414-908-6500
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Fax | 414-908-6565
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 72844-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301106214
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301106214
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License Number State | MI
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