Organization
SCHROEDER CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RAE SCHROEDER D.C. (OWNER)
(952) 542-3908
Entity
Organization
Contact information
Practice address
5801 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1481
(952) 542-3908
Mailing address
5801 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1481
(952) 542-3908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3AT57SC
BCBS
MN
Enumeration date
09/30/2008
Last updated
07/15/2009
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