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Individual

DR. TODD W SCHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3318 N 14TH ST, BISMARCK, ND 58503-1614
(701) 323-8300
(701) 323-8305
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9433
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12618
ND
01
25689
BLUE CROSS BLUE SHIELD ND
ND
01
407241040375
PREFERREDONE
ND
05
81335
ND
01
P00246702
RAILROAD MEDICARE
ND
Enumeration date
12/22/2005
Last updated
12/28/2015
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