Organization
DIANE M SCHLAGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M SCHLAGEL M.S. , L.P. (OWNER)
(218) 927-3417
Entity
Organization
Contact information
Practice address
29746 394TH PL, AITKIN, MN 56431-4446
(218) 927-3417
(218) 927-3417
Mailing address
29746 394TH PL, AITKIN, MN 56431-4446
(218) 927-3417
(218) 927-3417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117273
UCARE
MN
05
—
371752600
—
MN
01
—
56432SC
BCBS
MN
01
—
62-05540
MEDICA UBH
MN
Enumeration date
05/22/2007
Last updated
06/12/2008
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