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NPI Code Detail

MEDICARE: MR. GARY K SCHNELL MD

MEDICARE: MR. GARY K SCHNELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician26043-20WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093700288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY K SCHNELL MD
Provider Business Mailing Address
First Line : N14W30125 HIGH RIDGE RD
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-6112
Country : US
Telephone Number : 262-510-5988
Fax Number :
Provider Business Practice Location Address
First Line : 8901 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-1706
Country : US
Telephone Number : 414-465-5770
Fax Number : 414-260-8980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 02/03/2026

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