Individual
DR. GREGORY H SCHUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28886
OK
207RI0011X
Interventional Cardiology Physician
Primary
28886
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200412980A
—
OK
01
—
P01318820
RAILROAD
OK
Enumeration date
02/22/2006
Last updated
04/04/2022
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