Healthcare Provider Details

I. General information

NPI: 1700870441
Provider Name (Legal Business Name): DONALD E. SCHNURPFEIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 DELMAR BLVD.
ST LOUIS MO
63112-2617
US

IV. Provider business mailing address

222 S. WOODS MILLS ROAD SUITE 760 NORTH
CHESTERFIELD MO
63017-3625
US

V. Phone/Fax

Practice location:
  • Phone: 314-367-7848
  • Fax: 314-367-2985
Mailing address:
  • Phone: 314-205-6050
  • Fax: 314-434-5939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR7A01
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: