Provider Demographics
NPI:1982157673
Name:SCHUELE, BRIAN STEPHAN
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:STEPHAN
Last Name:SCHUELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16380 W YUMA RD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-3100
Mailing Address - Country:US
Mailing Address - Phone:623-925-4442
Mailing Address - Fax:623-925-4443
Practice Address - Street 1:520 ROSE LN
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-1447
Practice Address - Country:US
Practice Address - Phone:928-684-4380
Practice Address - Fax:928-684-5499
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist