Provider Demographics
NPI:1114954013
Name:SCHUCK, STEVEN P (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:SCHUCK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 MAIN ST
Mailing Address - Street 2:STE 350
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001
Mailing Address - Country:US
Mailing Address - Phone:563-582-3557
Mailing Address - Fax:608-348-7774
Practice Address - Street 1:909 MAIN ST
Practice Address - Street 2:STE 350
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001
Practice Address - Country:US
Practice Address - Phone:563-582-3557
Practice Address - Fax:608-348-7774
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00403213E00000X
WI485025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI83064Medicare PIN
WIT01153Medicare UPIN