Individual
JEFFREY DAVID SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5844
Mailing address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11417
MN
363AM0700X
Medical Physician Assistant
5601004850
MI
Other
Enumeration date
10/04/2006
Last updated
10/22/2013
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