Individual
KIMBERLY J HAYCRAFT SCHMOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-7700
(763) 689-7941
Mailing address
24004 W SUNSET ISLAND DR, COHASSET, MN 55721-2130
(612) 516-2868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
63359
WI
207Q00000X
Family Medicine Physician
Primary
39788
MN
207Q00000X
Family Medicine Physician
63359
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447516000
—
MN
01
—
FH5009887
DEA
MN
Enumeration date
04/17/2006
Last updated
07/08/2025
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