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NPI Code Detail

MEDICARE: JOSEPH ROBERT SCHANTZ

MEDICARE:   JOSEPH ROBERT SCHANTZ
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
1103TS0200XSchool Psychologist1027347MN

General Provider Information

NPI Number : 1518810233
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ROBERT SCHANTZ
Provider Business Mailing Address
First Line : 3003 E 29TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1602
Country : US
Telephone Number : 612-668-0254
Fax Number :
Provider Business Practice Location Address
First Line : 312 W 34TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4348
Country : US
Telephone Number : 612-668-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ JOSEPH ROBERT SCHANTZ ” Practice Location

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