Provider Demographics
NPI:1679758858
Name:SCHNELLER, BOBBIE MARIE (DO)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:MARIE
Last Name:SCHNELLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:MARIE
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:353 FAIRMONT BLVD
Mailing Address - Street 2:ATTEN MEDICAL STAFF SERVICES
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:502 E. MONROE STREET
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-1400
Practice Address - Country:US
Practice Address - Phone:605-719-4060
Practice Address - Fax:605-719-4012
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD8564207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine