Provider Demographics
NPI:1821028812
Name:SCHAULAND, RONALD W (CRNA)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:W
Last Name:SCHAULAND
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2123
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54912-2123
Mailing Address - Country:US
Mailing Address - Phone:920-451-8142
Mailing Address - Fax:920-451-8159
Practice Address - Street 1:277 ALTENHOFEN DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8401
Practice Address - Country:US
Practice Address - Phone:920-993-1643
Practice Address - Fax:920-451-8159
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI72561367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43309300Medicaid
WI43309300Medicaid