Individual
SUSAN MARIE SCHUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W LEOTA ST STE 100, NORTH PLATTE, NE 69101-6578
(308) 534-4440
(308) 534-7675
Mailing address
500 W LEOTA ST STE 100, NORTH PLATTE, NE 69101-6578
(308) 534-4440
(308) 534-7675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21760
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255554-00
—
NE
Enumeration date
02/10/2006
Last updated
03/03/2016
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