Organization
REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAISA SCHMITZ DO (OWNER)
(952) 243-5628
Entity
Organization
Contact information
Practice address
10627 165TH ST W, LAKEVILLE, MN 55044-3517
(952) 243-5628
Mailing address
10627 165TH ST W, LAKEVILLE, MN 55044-3517
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
10/01/2024
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