Individual
MICHAEL T SCHULENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 906-7855
(952) 470-4523
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 906-7855
(952) 470-4523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399519400
—
MN
01
—
40343
MEDICAL LICENSE
MN
Enumeration date
07/21/2005
Last updated
06/10/2011
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