Individual
DR. MARK E. SCHAKEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1897
Mailing address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1897
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A43400
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
A43400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434000
—
CA
01
—
A43400
STATE LICENSE
CA
Enumeration date
06/13/2006
Last updated
07/14/2023
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