MEDICARE: JAMIE E SCHAFER LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1714	MN

General Provider Information

NPI Number	:	1053739862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE E SCHAFER LAC

Provider Business Mailing Address
First Line	:	4657 WHITE BEAR PKWY
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3300
Country	:	US
Telephone Number	:	651-504-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	4657 WHITE BEAR PKWY
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3300
Country	:	US
Telephone Number	:	651-504-2767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2014
Last Update Date	:	06/02/2026

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Directions to “ JAMIE E SCHAFER LAC” Practice Location

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