Provider Demographics
NPI:1265487201
Name:SCHULGIT, JAMES L (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:SCHULGIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1001 W GLEN OAKS LN STE 105
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3369
Mailing Address - Country:US
Mailing Address - Phone:414-434-8524
Mailing Address - Fax:414-365-2937
Practice Address - Street 1:2901 W KINNICKINNICK RIVER PARKWAY
Practice Address - Street 2:105
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215
Practice Address - Country:US
Practice Address - Phone:414-649-3610
Practice Address - Fax:414-649-5217
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI24616207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30823400Medicaid
WI000101662Medicare PIN
B56434Medicare UPIN