Provider Demographics
NPI:1346244332
Name:SCHLEEHAUF, KAREN M (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:SCHLEEHAUF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 PENDO RD
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-8054
Mailing Address - Country:US
Mailing Address - Phone:605-578-7764
Mailing Address - Fax:605-578-9915
Practice Address - Street 1:6625 PENDO RD
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-8054
Practice Address - Country:US
Practice Address - Phone:605-578-7764
Practice Address - Fax:605-578-9915
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5494208600000X
TNMD0000028682207P00000X, 207R00000X
MN57315208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7301962Medicaid
SD7301965Medicaid
SD7301962Medicaid
SDG23997Medicare UPIN