Individual
RAYMOND WADE SCHONDELMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1682
(573) 874-0665
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1682
(573) 874-0665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4E43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202147831
—
MO
Enumeration date
07/19/2005
Last updated
09/05/2012
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