Individual
TUCKER SCHIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 18TH AVE NW, AUSTIN, MN 55912-1848
(507) 433-9146
Mailing address
607 18TH AVE NW, AUSTIN, MN 55912-1848
(507) 433-9146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14065
MN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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