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Individual

DR. NICHOLE MARIE SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4702 GRAND AVE, DULUTH, MN 55807-2742
(218) 249-6800
(218) 249-6808
Mailing address
4702 GRAND AVE, DULUTH, MN 55807-2742
(218) 249-6800
(218) 249-6808

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42655
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223613300
MN
Enumeration date
05/11/2006
Last updated
12/04/2020
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