Provider / Organization | NPI | Date Certified |
---|---|---|
CONNOR WILLIAM SCHULZ | 1407506223 | 2023-03-11 |
Connor William Schulz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407506223. Registration indicates Connor William Schulz is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Connor William Schulz PA-C |
Practice Office Address | 10625 W NORTH AVE STE 101B WAUWATOSA, WI US |
Practice Office Telephone | 4148775350 |
Mailing Address | 10625 W NORTH AVE STE 101B WAUWATOSA, WI 532262315 US |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5905-23
WI |