Individual
DR. STEFANIE F. SCHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E-11007
AR
207L00000X
Anesthesiology Physician
ME62432
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME62432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000516898A
—
GA
05
—
370963900
—
FL
05
—
Q62432
—
SC
Enumeration date
08/10/2006
Last updated
01/23/2024
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