Schmidt, Michael Clarence

Schmidt, Michael Clarence is an individual health care provider with primary practice located at 1509 Church Street , Stevens Point WI 54481. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Schmidt, Michael Clarence can be contacted via phone (715) 341-1644.

Contact Information

Primary practice address
1509 Church Street Stevens Point WI 54481
Fax: (715) 341-1681
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5001225 Wisconsin

Profile Details

NPI number 1457446452
LBN Legal business name Schmidt, Michael Clarence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457446452 NPPES
Wisconsin MEDICAID 33563500

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