Individual
GRANT MITCHELL SCHUENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 UTICA AVE S STE 100, ST LOUIS PARK, MN 55416-3476
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13835
MN
Other
Enumeration date
05/07/2020
Last updated
05/23/2022
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