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Individual

DR. DAVID CHARLES SCHROECKENSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3955 PARKLAWN AVE, STE 120, EDINA, MN 55435-5655
(952) 831-1944
(952) 278-6947
Mailing address
3955 PARKLAWN AVE, STE 120, EDINA, MN 55435-5655
(952) 831-1944
(952) 278-6947

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
24729
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0214924
MEDICA
MN
01
14606SC
BC/BS
MN
01
FP9020802016
PREFERRED ONE
MN
Enumeration date
08/21/2006
Last updated
07/08/2007
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