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NPI Code Detail

MEDICARE: LUKE DOUGLAS SCHMALZ

MEDICARE: LUKE DOUGLAS SCHMALZ
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
1367500000XCertified Registered Nurse Anesthetist3330MN

General Provider Information

NPI Number : 1245178573
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE DOUGLAS SCHMALZ
Provider Business Mailing Address
First Line : 2469 EAGLE TRACE LN
Second Line :
City : WOODBURY
State : MN
Zip : 55129-4283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-863-4000
Fax Number : 763-450-3986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ LUKE DOUGLAS SCHMALZ ” Practice Location

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