Dean Schmidt ACNP

NPI 1063429868 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1063429868
Gender Male
Enumeration Date 08/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5405 N KNOXVILLE AVE
PEORIA IL, 61614-5016, US
Phone (309) 691-4410
Fax
Business Location
5405 N KNOXVILLE AVE
PEORIA IL, 61614-5016, US
Phone (309) 691-4410
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State
License Number
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According to our database, Dean Schmidt ACNP NPI is 1063429868, taxonomy code is 363LA2100X Dean Schmidt ACNP physically located at 5405 N Knoxville Ave, Peoria IL, 61614-5016. NPI Number Dean Schmidt ACNP has the Individual type.

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1063429868 NPI number is provided on an as is basis without warranty of any kind. 1063429868 is maintained by the National Plan & Provider Enumeration System. The contents of Dean Schmidt ACNP are for informational purposes only.