Provider Demographics
NPI:1396891065
Name:SCHAFER-MCLEAN, RHONDA (MD/PHD)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:SCHAFER-MCLEAN
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 INTERCHANGE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2084
Mailing Address - Country:US
Mailing Address - Phone:701-498-4111
Mailing Address - Fax:
Practice Address - Street 1:1500 INTERCHANGE AVE STE 201
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2084
Practice Address - Country:US
Practice Address - Phone:701-498-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND11307207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND11307OtherND LICENSE #
ND1396891065OtherNPI
ND11307OtherND LICENSE #