Basic Information
Provider Information
NPI: 1841428885
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMIDT
FirstName: STEVEN
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2010
Address2:  
City: FARGO
State: ND
PostalCode: 581222484
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber:  
Practice Location
Address1: 300 N 7TH ST
Address2:  
City: BISMARCK
State: ND
PostalCode: 585014439
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2009
LastUpdateDate: 02/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X12275NDN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X6084NEY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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