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Individual

DR. JOEL FLOYD SCHOCK IV

Active
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Individual

DR. JOEL FLOYD SCHOCK IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29157
MN
207Q00000X
Family Medicine Physician
Primary
4892
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068K7SC
MN BLUE SHIELD
MN
05
—
16541
—
ND
05
—
892937800
—
MN
01
—
P00057347
RAILROAD MEDICARE
ND
01
—
SCH23164
N DAKOTA BLUE SHIELD
ND
Enumeration date
06/09/2005
Last updated
10/15/2010
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