Individual
MATTHEW JAMES SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56002-8673
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56002-8673
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134332
UCARE
MN
01
—
16-04888
MEDICA
MN
01
—
1649324690
AMERICA'S PPO
MN
05
—
258140100
—
MN
01
—
300004171
MEDICARE
MN
01
—
300004172
MEDICARE
MN
05
—
34787800
—
WI
01
—
6G898SC
BLUE CROSS BLUE SHIELD
MN
01
—
960371050961
PREFERRED ONE
MN
01
—
HP78222
HEALTH PARTNERS
MN
01
—
P00437110
MEDICARE - RAILROAD
MN
Enumeration date
01/23/2007
Last updated
09/18/2020
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