Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D0013191 | MD |
NPI | 1033286836 |
---|---|
Provider Name | Walter C Schaefer |
First Address | Salisbury, MD 21801 |
Second Address | Salisbury, MD 21801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 09/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7400WC | CAREFIRST (01) | MD |
D74466 | (02) | |
S0650001 | BLUE CHOICE (01) | MD |