MEDICARE: PETER ALOYSIUS SCHMITZ 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
1	207X00000X	Orthopaedic Surgery Physician	19675	MN

General Provider Information

NPI Number	:	1346240900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER ALOYSIUS SCHMITZ MD

Provider Business Mailing Address
First Line	:	2014 S 6TH ST
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-4529
Country	:	US
Telephone Number	:	218-829-7812
Fax Number	:	218-829-9751

Provider Business Practice Location Address
First Line	:	2014 S 6TH ST
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-4529
Country	:	US
Telephone Number	:	218-829-7812
Fax Number	:	218-829-9751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/08/2007

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