Individual
JARED WAYNE SCHIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 ADMIRAL TROST RD STE 1A, COLUMBIA, IL 62236-2164
(618) 281-7373
Mailing address
200 ADMIRAL TROST RD STE 1A, COLUMBIA, IL 62236-2164
(618) 281-7373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007916
IL
Other
Enumeration date
05/05/2020
Last updated
02/04/2021
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