Healthcare Provider Details

I. General information

NPI: 1699861799
Provider Name (Legal Business Name): ALLAN HOWARD SCHUSTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

IV. Provider business mailing address

8521 WESTMORELAND LANE
MINNEAPOLIS MN
55426-1930
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-4000
  • Fax: 763-236-3026
Mailing address:
  • Phone: 952-544-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number44083
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number44083
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: