Provider Demographics
NPI:1336190156
Name:SCHUSTER, DEBRA K (MD FACC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:K
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-1827
Mailing Address - Country:US
Mailing Address - Phone:715-298-0998
Mailing Address - Fax:
Practice Address - Street 1:3301 CRANBERRY BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-5216
Practice Address - Country:US
Practice Address - Phone:715-393-2513
Practice Address - Fax:715-393-2655
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26762-020207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1336190156Medicaid
WIF10993Medicare UPIN
WI1336190156Medicaid