Individual
RONALD W SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Mailing address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1291-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127371
—
MN
05
—
39043800
—
WI
01
—
3H051SC
BCBS-MN
MN
01
—
HP65356
HEALTHPARTNERS
MN
Enumeration date
12/15/2006
Last updated
12/06/2007
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