Individual
DR. SHANEEN D. SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Mailing address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40341
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001311100
—
MN
Enumeration date
08/25/2006
Last updated
12/27/2012
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