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NPI Code Detail

MEDICARE: ANTOINETTE SCHUTTA L.P.

MEDICARE: ANTOINETTE SCHUTTA L.P.
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
1103T00000XPsychologist3894MN

General Provider Information

NPI Number : 1528380268
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE SCHUTTA L.P.
Provider Business Mailing Address
First Line : 5926 OXFORD ST N
Second Line :
City : SHOREVIEW
State : MN
Zip : 55126-8414
Country : US
Telephone Number : 612-810-8687
Fax Number :
Provider Business Practice Location Address
First Line : 4826 CHICAGO AVE STE 105
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-1055
Country : US
Telephone Number : 612-827-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 02/22/2010

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Directions to “ ANTOINETTE SCHUTTA L.P.” Practice Location

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