Individual
DR. KELLY RAE SCHWARTZBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 3RD ST N, BAYPORT, MN 55003-1028
(651) 439-2352
Mailing address
6670 GLEN RD, WOODBURY, MN 55129-9506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13039
MN
1223G0001X
General Practice Dentistry
D13039
MN
Other
Enumeration date
10/16/2012
Last updated
02/08/2023
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