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Individual

DR. TRACY J. SCHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
504 PINE ST, MONTICELLO, MN 55362-8570
(763) 295-0004
(763) 295-4701
Mailing address
1421 50TH ST NE, BUFFALO, MN 55313-3640
(763) 682-4570
(763) 295-4701

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2928
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271977100
MN
Enumeration date
05/11/2006
Last updated
06/25/2010
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