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Individual

DR. GREGORY SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009-01141
NC
208600000X
Surgery Physician
54012
WV
2086S0102X
Surgical Critical Care Physician
2009-01141
NC
2086S0102X
Surgical Critical Care Physician
2709
WV
2086S0127X
Trauma Surgery Physician
Primary
2009-01141
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810018369
WV
Enumeration date
04/04/2007
Last updated
04/15/2022
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