Individual
SCOTT MARSHALL SCHMAEDEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1155 FORD RD STE B, ST LOUIS PARK, MN 55426-1115
(952) 378-1800
(952) 378-1714
Mailing address
3100 W LAKE ST STE 210, MINNEAPOLIS, MN 55416-4597
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10816
MN
Other
Enumeration date
06/29/2010
Last updated
07/21/2022
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