Provider Demographics
NPI:1922043215
Name:SCHIPPERS, DONNA M (DO)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SCHIPPERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:40520 COUNTY HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:OGEMA
Mailing Address - State:MN
Mailing Address - Zip Code:56569-9612
Mailing Address - Country:US
Mailing Address - Phone:218-983-4300
Mailing Address - Fax:218-983-6217
Practice Address - Street 1:616 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-4115
Practice Address - Country:US
Practice Address - Phone:850-584-5876
Practice Address - Fax:850-584-4939
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2018-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0006255207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBL CROSS BL SHIELDOtherPROVIDER NUMBER
FL373646600Medicaid
FLBL CROSS BL SHIELDOtherPROVIDER NUMBER
F68326Medicare UPIN