Healthcare Provider Details
I. General information
NPI: 1578543583
Provider Name (Legal Business Name): JOACHIM W SCHUGEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/18/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 1ST ST SW
ROCHESTER MN
55905-0001
US
IV. Provider business mailing address
200 1ST ST SW
ROCHESTER MN
55905-0001
US
V. Phone/Fax
- Phone: 507-284-2511
- Fax:
- Phone: 507-284-2511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | 45847 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 45847 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: