Individual
DR. ALAN R SCHMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7704
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017438
DORAL
MN
01
—
1000370
PREFERRED ONE
MN
01
—
171398
UCARE
MN
01
—
546S4SC
BCBS
MN
05
—
780218800
—
MN
Enumeration date
06/16/2006
Last updated
05/27/2015
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