Provider Demographics
NPI:1013194836
Name:SCHMIDT, RONALD LEONARD (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:LEONARD
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:PARK FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54552-1214
Mailing Address - Country:US
Mailing Address - Phone:715-762-3283
Mailing Address - Fax:715-762-2980
Practice Address - Street 1:138 2ND AVE N
Practice Address - Street 2:
Practice Address - City:PARK FALLS
Practice Address - State:WI
Practice Address - Zip Code:54552-1214
Practice Address - Country:US
Practice Address - Phone:715-762-3283
Practice Address - Fax:715-762-2980
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10551-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist