Individual
SHARON RAE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
5801 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1481
(952) 542-3908
(952) 417-2486
Mailing address
5801 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1481
(952) 542-3908
(952) 417-2486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3AT57SC
BCBS
MN
01
—
411984147
FEDERAL TAX I.D
MN
Enumeration date
03/05/2007
Last updated
07/15/2009
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