Provider Demographics
NPI:1770536872
Name:SCHAEFFER, JOHN D (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:SCHAEFFER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:900 N ORANGE ST
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-2998
Mailing Address - Country:US
Mailing Address - Phone:406-327-3379
Mailing Address - Fax:406-327-3355
Practice Address - Street 1:900 N ORANGE ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2998
Practice Address - Country:US
Practice Address - Phone:406-327-3379
Practice Address - Fax:406-327-3355
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
MT110802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E03568Medicare UPIN