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Individual

FAITH KELLY DAMMANN SCHLICHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 255-2700
Mailing address
911 8TH AVE N, SAINT CLOUD, MN 56303-2911
(320) 282-9315

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13331
MN
363A00000X
Physician Assistant

Other

Enumeration date
02/07/2020
Last updated
03/07/2022
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