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Individual

MARY K SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-7961
(605) 928-7368
Mailing address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-7961
(605) 928-7368

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0388
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007354
WELLMARK PARKSTON
SD
01
4997644
WELLMARK - LAKE ANDES
SD
01
4997652
WELLMARK - TRIPP
SD
05
5340070
SD
05
5340340
SD
05
6821750
SD
01
9247664
DAKOTACARE
SD
Enumeration date
11/02/2005
Last updated
08/09/2012
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