Individual
MARK R SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31563
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124769
UCARE #
MN
05
—
15645
—
MN
01
—
1600814
MEDICA #
MN
01
—
1601920
MEDICA #
MN
01
—
19078
NDBS #
MN
01
—
20183
NDBS #
MN
05
—
539385000
—
MN
01
—
85D24SC
MNBS #
MN
01
—
927715
AMERICA'S PPO/ARAZ #
MN
01
—
96D98SC
MNBS #
MN
01
—
DA9021021972
PREFERRED ONE #
MN
01
—
DA9031021972
PREFERRED ONE #
MN
01
—
HP23465
HEALTHPARTNERS #
MN
01
—
P00461967
MEDICARE RR
MN
Enumeration date
07/06/2006
Last updated
05/04/2012
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