Provider Demographics
NPI:1275506321
Name:SCHMIDT OLIVER, KARI A (MD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:SCHMIDT OLIVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:A
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1218 W KILBOURN AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-1330
Mailing Address - Country:US
Mailing Address - Phone:414-219-6600
Mailing Address - Fax:414-219-6706
Practice Address - Street 1:1218 W KILBOURN AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-1330
Practice Address - Country:US
Practice Address - Phone:414-219-6600
Practice Address - Fax:414-219-6706
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI40785207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1275506321Medicaid
WIK400354926Medicare PIN
WI683750670Medicare PIN
WIK400354924Medicare PIN
WIG89747Medicare UPIN