Healthcare Provider Details

I. General information

NPI: 1922015346
Provider Name (Legal Business Name): JOSEPH PAUL SCHUSTER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 SOUTH 7TH STREET, FIRST FLOOR, R102 UNIVERSITY ORTHOPEADICS
MINNEAPOLIS MN
55454
US

IV. Provider business mailing address

720 WASHINGTON AVE SE UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55414
US

V. Phone/Fax

Practice location:
  • Phone: 612-884-0649
  • Fax:
Mailing address:
  • Phone: 612-884-0649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number597
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: