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Individual

TARA SCHAACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(952) 853-8800
Mailing address
2426 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1735
(612) 302-8200

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/20/2020
Last updated
06/20/2023
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