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NPI Code Detail

MEDICARE: DR. JOSEPH GERARD SCHAAF M.D.

MEDICARE:  DR. JOSEPH GERARD SCHAAF  M.D.
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
12084P0800XPsychiatry Physician7864AWY
22084P0800XPsychiatry Physician5079NE

General Provider Information

NPI Number : 1538251046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH GERARD SCHAAF M.D.
Provider Business Mailing Address
First Line : 255 N 30TH ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-5140
Country : US
Telephone Number : 307-742-2142
Fax Number : 307-755-4307
Provider Business Practice Location Address
First Line : 255 N 30TH ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-5140
Country : US
Telephone Number : 307-742-2142
Fax Number : 307-755-4307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 01/10/2011

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