Individual
ASHLEY SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36073 DOLPHIN ST NW, PRINCETON, MN 55371-5274
(612) 636-7881
Mailing address
36073 DOLPHIN ST NW, PRINCETON, MN 55371-5274
(612) 636-7881
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091136600024
DEMOLITION RESTORATION
MN
Enumeration date
01/30/2020
Last updated
01/30/2020
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