Provider Demographics
NPI:1104805183
Name:SCHMIDT, ROLF KIRSTEN (MD)
Entity type:Individual
Prefix:DR
First Name:ROLF
Middle Name:KIRSTEN
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:NAVAL MEDICAL CENTER
Mailing Address - Street 2:100 BREWSTER BLVD.
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-2538
Mailing Address - Country:US
Mailing Address - Phone:910-450-3709
Mailing Address - Fax:406-731-8318
Practice Address - Street 1:NAVAL MEDICAL CENTER
Practice Address - Street 2:100 BREWSTER BLVD.
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-3709
Practice Address - Fax:406-731-8318
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101231034171000000X
MT99685207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No171000000XOther Service ProvidersMilitary Health Care Provider