Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 40784 | WI |
N | 208600000X | Surgeon | 40784 | WI |
N | 208200000X | Surgeon | 48180 | CO |
N | 208600000X | Surgeon | 48180 | CO |
Y | 208200000X | Surgeon | 5798 | AK |
Y | 208600000X | Surgeon | 5798 | AK |
NPI | 1003919432 |
---|---|
Provider Name | Kirk D Schlafer |
First Address | Andrews Afb, MD 20762-6601 |
Second Address | Andrews Afb, MD 20762-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 25/06/2013 |