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General NPI Number Information
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NPI Number | 1992825376
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Entity Type | Individual
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Provider Name | STEPHANIE MICHELLE SCHMIDT M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 613 N 2ND ST
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City | LAWRENCE
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State | KS
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Zip | 66044-1407
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Country | US
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Telephone | 785-842-7026
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Fax |
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Provider Business Mailing Address
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Address Line | 4612 HEARTHSIDE DR
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City | LAWRENCE
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State | KS
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Zip | 66049-3740
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Country | US
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Telephone | 785-760-6568
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0433337
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License Number State | KS
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