Individual
MRS. MARTI JO SCHUETZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2007 8TH AVE SE, MANDAN, ND 58554-5001
(701) 663-0922
Mailing address
2909 PLAINVIEW DR SE, MANDAN, ND 58554
(701) 226-7933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
861
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54610
—
ND
Enumeration date
01/23/2007
Last updated
07/08/2007
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