Individual
FREDERICK MICHAEL SCHEKORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 KIDWELL, CAPITAL REGION MEDICAL CLINIC VERSAILLES, VERSAILLES, MO 65084
(573) 378-4666
(573) 378-5099
Mailing address
901 KIDWELL, CAPITAL REGION MEDICAL CLINIC VERSAILLES, VERSAILLES, MO 65084
(573) 378-4666
(573) 378-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7J23
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197480
HEALTHLINK
—
01
—
2213786
CIGNA
—
05
—
242714707
—
MO
01
—
440546366
UNITED HEALTHCARE
—
05
—
500383609
—
MO
01
—
8476
BLUE CROSS BLUE SHIELD
—
01
—
853020
FIRST HEALTH
—
01
—
C78607
MERCY
—
01
—
STL0104039
UNITED HEALTHCARE
—
Enumeration date
01/05/2006
Last updated
06/08/2012
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