Individual
DR. JOEL FLOYD SCHOCK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
(701) 451-9452
Mailing address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
(701) 451-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29157
MN
207Q00000X
Family Medicine Physician
Primary
4892
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068K7SC
MN BLUE SHIELD
MN
05
—
16541
—
ND
05
—
892937800
—
MN
01
—
P00057347
RAILROAD MEDICARE
ND
01
—
SCH23164
N DAKOTA BLUE SHIELD
ND
Enumeration date
06/09/2005
Last updated
10/15/2010
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