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Individual

TIMOTHY SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6545 FRANCE AVE S, SUITE 350, EDINA, MN 55435-2131
(952) 920-2600
(952) 920-2668
Mailing address
6545 FRANCE AVE S, SUITE 350, EDINA, MN 55435-2131
(952) 920-2600
(952) 920-2668

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
053401
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060078925
GA
05
34927700
WI
05
577420000
MN
Enumeration date
10/26/2006
Last updated
02/23/2021
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