Individual
DR. MARY ALICE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7961 VAN ZYVERDEN RD, MERIDIAN, MS 39305-9124
(256) 509-0590
Mailing address
7961 VANZYVERDEN RD, MERIDIAN, MS 39305
(256) 509-0590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
340070405
OH
208000000X
Pediatrics Physician
DO451
AL
208000000X
Pediatrics Physician
Primary
MS19178
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06389899
—
MS
01
—
1154535375
NPI
MS
Enumeration date
05/09/2007
Last updated
05/21/2019
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