Individual
MR. JONATHAN M SCHLOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
825 E 8TH ST, SUITE 204, WINNER, SD 57580-2633
(605) 842-7188
(605) 842-7189
Mailing address
PO BOX 435, WINNER, SD 57580-0435
(605) 842-7188
(605) 842-7189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1136
SD
225100000X
Physical Therapist
2310
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008439
WELLMARK
SD
05
—
10025389600
—
NE
01
—
27183
SANFORD HEALTH PLAN
SD
05
—
5833330
—
SD
05
—
5833332
—
SD
01
—
9192238
DAKOTA CARE
SD
01
—
9207
AVERA HEALTH PLAN
SD
Enumeration date
12/14/2005
Last updated
10/09/2017
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