Individual
BETH A SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
756 E LAKE ST, LAKE ANDES, SD 57356-2001
(605) 487-7878
(605) 487-9566
Mailing address
PO BOX 279, LAKE ANDES, SD 57356-0279
(605) 487-7878
(605) 487-9566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0153
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997643
WELLMARK LAKE ANDES
SD
05
—
6821740
—
SD
Enumeration date
11/02/2005
Last updated
08/09/2012
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