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NPI Code Detail

MEDICARE: SUSAN MARIE SCHMITZ R.N.

MEDICARE: SUSAN MARIE SCHMITZ R.N.
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
1163WP0808XPsychiatric/Mental Health Registered NurseWI

General Provider Information

NPI Number : 1639105653
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MARIE SCHMITZ R.N.
Provider Business Mailing Address
First Line : 23794 LAMPLIGHTER RD
Second Line :
City : NORWALK
State : WI
Zip : 54648-8211
Country : US
Telephone Number : 608-654-5800
Fax Number :
Provider Business Practice Location Address
First Line : 500 E VETERANS ST
Second Line :
City : TOMAH
State : WI
Zip : 54660-3105
Country : US
Telephone Number : 608-372-1182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/08/2007

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