Individual
ELIZABETH A SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
14040 NORTHDALE BLVD, ROGERS, MN 55374-9612
(763) 488-4100
Mailing address
6782 LAKEVIEW CIR, CORCORAN, MN 55340-9798
(763) 478-9102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8991
MN
363AM0700X
Medical Physician Assistant
Primary
8991
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07Q42SC
BLUE CROSS BLUE SHIELD
MN
05
—
337590100
—
MN
01
—
6605306
MEDICA
MN
01
—
HP46839
HEALTHPARTNERS
MN
Enumeration date
05/23/2006
Last updated
12/28/2024
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