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Individual
NATHAN ROBERT SCHOEPPACH
Active
Individual
NATHAN ROBERT SCHOEPPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49854
MN
207Q00000X
Family Medicine Physician
Primary
53607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128314
MEDICA
MN
05
—
181975000
—
MN
01
—
35P57SC
BCBS
MN
01
—
P00438367
RR MEDICARE PTAN
—
Enumeration date
05/02/2007
Last updated
03/26/2021
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