Individual
MARILYN K. WALDSCHMIDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 LAKE ST E, WATERVILLE CLINIC - MAYO HEALTH SYSTEM, WATERVILLE, MN 56096-1450
(507) 362-4221
(507) 362-4361
Mailing address
212 LAKE ST E, WATERVILLE CLINIC - MAYO HEALTH SYSTEM, WATERVILLE, MN 56096-1450
(507) 362-4221
(507) 362-4361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38934
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101633, 3909161
MEDICA
MN
01
—
120312
MNCARE-U
MN
01
—
21483
SVHP
MN
01
—
39T06WA, 37Y47WA
BCBS
MN
01
—
HP23277
HEALTH PARTNERS
MN
01
—
NA9501017105
PREFERRED ONE
MN
Enumeration date
01/30/2006
Last updated
07/08/2007
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