Healthcare Provider Details

I. General information

NPI: 1124414677
Provider Name (Legal Business Name): KATHERINE RUTH COLWELL SCHNELL DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2015
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 1ST ST STE 404
DULUTH MN
55805
US

IV. Provider business mailing address

1000 E 1ST ST STE 404
DULUTH MN
55805-2297
US

V. Phone/Fax

Practice location:
  • Phone: 218-722-5513
  • Fax: 218-722-6515
Mailing address:
  • Phone: 218-722-5513
  • Fax: 218-722-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number991
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: