Individual
JOHN M SCHRUEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
D0065238
MD
207P00000X
Emergency Medicine Physician
0101238887
VA
207R00000X
Internal Medicine Physician
Primary
0101238887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010201942
—
VA
01
—
1003875808
NPI
VA
01
—
540490687003
TRICARE
VA
Enumeration date
03/21/2006
Last updated
07/09/2018
Update your record
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