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Individual

JEFFREY R SCHMIDT

Active
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Individual

JEFFREY R SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
147
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1642
AVERA HEALTH PLANS
SD
01
—
22403
SIOUX VALLEY HEALTH PLANS
SD
01
—
480020837
RAILROAD MEDICARE
SD
05
—
6800422
—
SD
05
—
9152040
—
SD
Enumeration date
06/09/2005
Last updated
07/23/2008
About Stedi
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