Schaunaman, Gwen M

Schaunaman, Gwen M is an individual health care provider with primary practice located at 506 1St Ave Se , Watertown SD 57201-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Schaunaman, Gwen M can be contacted via phone (605) 886-8482.

Contact Information

Primary practice address
506 1St Ave Se Watertown SD 57201-4402
Fax: (605) 884-4300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8831 South Dakota

Profile Details

NPI number 1235361064
LBN Legal business name Schaunaman, Gwen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2009
Last updated May 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235361064 NPPES
South Dakota Other 8831 SD STATE LICENSE
South Dakota Other 26686 SD STATE LICENSE
South Dakota Other 60106736 SD STATE LICENSE

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