MEDICARE: KAREN M SCHLEEHAUF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	5494	SD
2	207P00000X	Emergency Medicine Physician	MD0000028682	TN
3	207R00000X	Internal Medicine Physician	MD0000028682	TN
4	208600000X	Surgery Physician	57315	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346244332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN M SCHLEEHAUF MD

Provider Business Mailing Address
First Line	:	6625 PENDO RD
Second Line	:
City	:	SPEARFISH
State	:	SD
Zip	:	57783-8054
Country	:	US
Telephone Number	:	605-578-7764
Fax Number	:	605-578-9915

Provider Business Practice Location Address
First Line	:	6625 PENDO RD
Second Line	:
City	:	SPEARFISH
State	:	SD
Zip	:	57783-8054
Country	:	US
Telephone Number	:	605-578-7764
Fax Number	:	605-578-9915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	04/30/2015

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Directions to “ KAREN M SCHLEEHAUF MD” Practice Location

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