Healthcare Provider Details
I. General information
NPI: 1780189407
Provider Name (Legal Business Name): KATHRYN L SCHWALBE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/26/2018
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 STATE AVE
FARIBAULT MN
55021-6337
US
IV. Provider business mailing address
2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US
V. Phone/Fax
- Phone: 507-334-3921
- Fax: 507-384-4470
- Phone: 612-262-9000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 06372 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 78865 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: