Individual
JONATHAN SCHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 N 14TH ST, BISMARCK, ND 58501-4624
(701) 390-9239
Mailing address
824 N 14TH ST APT 1, BISMARCK, ND 58501-4310
(701) 989-9833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19175
ND
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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