Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3383-012 | WI |
NPI | 1003001694 |
---|---|
Provider Name | Julie Mae Schmitt |
First Address | New Glarus, WI 53574-0485 |
Second Address | New Glarus, WI 53574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2007 |
Last Update Date | 07/09/2007 |