Individual
GWEN M SCHAUNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8831
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26686
NE STATE LICENSE
NE
01
—
60106736
WA STATE LICENSE
WA
01
—
8831
SD STATE LICENSE
SD
Enumeration date
08/12/2009
Last updated
05/11/2022
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