Provider Demographics
NPI:1669551107
Name:SCHAEFER, STEFAN C (MD)
Entity type:Individual
Prefix:
First Name:STEFAN
Middle Name:C
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1680 CALLE DE ALVAREZ
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005
Mailing Address - Country:US
Mailing Address - Phone:575-524-3346
Mailing Address - Fax:575-524-1720
Practice Address - Street 1:1680 CALLE DE ALVAREZ
Practice Address - Street 2:SUITE B
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005
Practice Address - Country:US
Practice Address - Phone:575-524-3346
Practice Address - Fax:575-524-1720
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2014-05-13
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Provider Licenses
StateLicense IDTaxonomies
NM97-365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine