Individual
DR. JERRY LYNN SCHOTTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 FRANCE AVE S, SUITE 375, EDINA, MN 55435-2137
(651) 312-1700
(651) 312-1570
Mailing address
1055 WESTGATE DR, SUITE 190, SAINT PAUL, MN 55114-1065
(651) 312-1500
(651) 312-1593
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
15370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556873100
—
MN
Enumeration date
06/02/2006
Last updated
08/31/2016
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