Individual
MR. RON DOUGLAS SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Mailing address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001299
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229098
MIDLAND CHOICE
IA
01
—
24114
BLUE CROSS
IA
05
—
970016501
—
IA
01
—
IA0113
JOHN DEERE
IA
05
—
P00277855
—
IA
Enumeration date
01/12/2007
Last updated
11/23/2009
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