Healthcare Provider Details

I. General information

NPI: 1346244332
Provider Name (Legal Business Name): KAREN M SCHLEEHAUF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 04/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 PENDO RD
SPEARFISH SD
57783-8054
US

IV. Provider business mailing address

6625 PENDO RD
SPEARFISH SD
57783-8054
US

V. Phone/Fax

Practice location:
  • Phone: 605-578-7764
  • Fax: 605-578-9915
Mailing address:
  • Phone: 605-578-7764
  • Fax: 605-578-9915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD0000028682
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD0000028682
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5494
License Number StateSD
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number57315
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: