Individual
DAVID EDWARD SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 767-2326
(952) 593-5187
Mailing address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 767-2326
(952) 593-5187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04R49SC
BLUE CROSS
MN
01
—
1000912
PREFERRED ONE
MN
01
—
22254
AMERICA'S PPO
MN
01
—
618275500
DEPT HUMAN SERVICES
MN
05
—
618275500
—
MN
01
—
66-00615
MEDICA
MN
01
—
930112648
MEDICARE RAILROAD
MN
Enumeration date
01/04/2007
Last updated
02/25/2016
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