Individual
DR. JEANNE M SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
523 S SANTA FE AVE STE B, EDMOND, OK 73003-6291
(405) 509-6777
(405) 509-6778
Mailing address
PO BOX 270, EDMOND, OK 73083-0270
(405) 509-6777
(405) 509-6778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205560B
—
OK
Enumeration date
02/17/2006
Last updated
07/17/2020
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