Individual
JEFFREY T. SCHLEUSENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2805 5TH ST, SUITE 210, RAPID CITY, SD 57701-6003
(605) 343-2267
(605) 342-0418
Mailing address
2805 5TH ST, STE 210, RAPID CITY, SD 57701-7330
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3966
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5580110
—
SD
Enumeration date
08/03/2005
Last updated
02/16/2018
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