Individual
MICHAEL T SHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 208, OTTUMWA, IA 52501-6413
(641) 682-5481
(641) 682-3438
Mailing address
1005 PENNSYLVANIA AVE, SUITE 208, OTTUMWA, IA 52501-6413
(641) 682-5481
(641) 682-3438
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23165
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196360
—
IA
01
—
1427013903
BCBS
IA
Enumeration date
04/19/2006
Last updated
08/11/2016
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