Individual
JEFFREY R SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
501 S OHLMAN ST, MITCHELL, SD 57301-3108
(605) 996-8171
(605) 996-8171
Mailing address
PO BOX 932, MITCHELL, SD 57301-0932
(605) 996-8171
(605) 996-8171
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
147
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1642
AVERA HEALTH PLANS
SD
01
—
22403
SIOUX VALLEY HEALTH PLANS
SD
01
—
480020837
RAILROAD MEDICARE
SD
05
—
6800422
—
SD
05
—
9152040
—
SD
Enumeration date
06/09/2005
Last updated
07/23/2008
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