Individual
KATHLEEN SCHAETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-0402
Mailing address
387 CRETIN AVE S, SAINT PAUL, MN 55105-1311
(785) 760-2845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14021
MN
390200000X
Student in an Organized Health Care Education/Training Program
30480
IA
Other
Enumeration date
04/04/2016
Last updated
05/10/2021
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