Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 17857-875 | WI |
NPI | 1073946539 |
---|---|
Provider Name | Brian T Schmidt |
First Address | Shawnee, KS 66227 |
Second Address | Shawnee, KS 66227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 30/04/2021 |