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NPI Code Detail

MEDICARE: ABIGAIL MARIE SCHMIDTBERGER

MEDICARE:   ABIGAIL MARIE SCHMIDTBERGER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114596830
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL MARIE SCHMIDTBERGER
Provider Business Mailing Address
First Line : 1625 BOB WHITE DR
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-9305
Country : US
Telephone Number : 785-424-0758
Fax Number :
Provider Business Practice Location Address
First Line : 1625 BOB WHITE DR
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-9305
Country : US
Telephone Number : 785-424-0758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2021
Last Update Date : 06/18/2021

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Directions to “ ABIGAIL MARIE SCHMIDTBERGER ” Practice Location

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