Individual
DEANNA SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
615 NELSON DR, CLEARWATER, MN 55320
(320) 558-2293
(320) 558-2559
Mailing address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-8949
(320) 202-0756
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9136
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214592800
—
MN
Enumeration date
06/29/2006
Last updated
03/14/2023
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