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Individual

MICHAEL SCHILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15000 MINNETONKA BLVD, MINNETONKA, MN 55345-1506
(952) 935-4037
Mailing address
5655 W 35TH ST APT 216, ST LOUIS PARK, MN 55416-5528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11092
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11092
PHYSICAL THERAPY LICENSE
Enumeration date
06/11/2018
Last updated
06/11/2018
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