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Individual

STEPHAN J SCHOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
444 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-6601
(319) 653-5624
Mailing address
444 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-6601
(319) 653-5624

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26660
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060036494
RR MEDICARE
05
1050336
IA
01
54383
WELLMARK
01
71960
MEDICARE GROUP
01
CA3899
RR MEDICARE GROUP
Enumeration date
01/17/2006
Last updated
05/15/2015
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