Individual
ROSS JOHN SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1670 BEAM AVE, SUITE 204, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Mailing address
3514 HENNEPIN AVE, APT. 201, MINNEAPOLIS, MN 55408-3832
(574) 292-0318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13375
MN
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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