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Individual

GEORGE E SCHOEPHOERSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Mailing address
3366 OAKDALE AVENUE NORTH, SUITE 315, ROBINSDALE, MN 55422
(763) 587-7900
(763) 587-7989

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27065
MN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
27065
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00438506
PREFERRED ONE
01
0116867
MEDICA HEALTH PLANS
01
110853
U CARE
01
135308000
MEDICAL ASSISTANCE
05
135308000
MN
01
203LISC
BCBS
01
797925
ARAZ GROUP AMERICAS PPO
01
HP26264
HEALTH PARTNERS
Enumeration date
10/27/2005
Last updated
05/19/2010
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