Organization
STAY SPRY HEALTH PC
Active
Other names
Katey Schroeder
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SCHROEDER PA-C (PHYSICIAN ASSISTANT)
(612) 963-1223
Entity
Organization
Contact information
Practice address
5821 CEDAR LAKE RD S STE 201, SAINT LOUIS PARK, MN 55416-1487
(612) 293-0352
Mailing address
5821 CEDAR LAKE RD S STE 201, SAINT LOUIS PARK, MN 55416-1487
(612) 293-0352
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215267927
INDIVIDUAL NPI
MN
Enumeration date
05/15/2023
Last updated
07/02/2024
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