Individual
DOUGLAS C SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
804 S WALNUT ST, FREEMAN, SD 57029-0900
(605) 925-4219
Mailing address
PO BOX 900, FREEMAN, SD 57029-0900
(605) 925-4219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0171
SD
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6820370
—
SD
05
—
6820372
—
SD
Enumeration date
02/01/2006
Last updated
01/15/2010
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