Provider Demographics
NPI:1942773155
Name:SCHULER, CONNOR THOMAS (PA)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:THOMAS
Last Name:SCHULER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:234 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4560
Mailing Address - Country:US
Mailing Address - Phone:707-463-7356
Mailing Address - Fax:
Practice Address - Street 1:1001 MAIN ST STE 500A
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61606-2038
Practice Address - Country:US
Practice Address - Phone:309-672-4980
Practice Address - Fax:309-671-2979
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA58833363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical