Provider Demographics
NPI:1316990484
Name:SCHMIDT, PAUL WALTER (MS PT ATC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:WALTER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MS PT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10276 NORMONIE CT
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9335
Mailing Address - Country:US
Mailing Address - Phone:734-764-0531
Mailing Address - Fax:
Practice Address - Street 1:1200 S STATE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2207
Practice Address - Country:US
Practice Address - Phone:734-764-0531
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner