Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01072991A | IN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01072991A | IN |
NPI | 1124392741 |
---|---|
Provider Name | Dr. Stacey Stevens Schmiedecke |
First Address | San Diego, CA 92134-0001 |
Second Address | San Diego, CA 92134-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2012 |
Last Update Date | 24/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD0000 | (02) | CA |